Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Wound Care LLC

Organization Nurse Practitioner · NPI 1275341042

Advanced Wound Care LLC is a Nurse Practitioner in Rockville, Maryland. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 Park Ave Ste 108A
Rockville, MD 20850-2651
Phone: (703) 939-5763
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3597 Holborn Pl, Frederick, MD 21704-7404 — (301) 575-4458

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1275341042
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyler Stout — Manager · (337) 315-7927
NPI enumeratedDecember 24, 2024
Last updated in NPPESMay 31, 2025
Certification dateMay 31, 2025
Mailing address100 Park Ave Ste 108a, Rockville, MD 20850-2651

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