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

Magnolia Health Care LLC

Organization Wound Care Registered Nurse · NPI 1225908445

Magnolia Health Care LLC is a Wound Care Registered Nurse in Gambrills, Maryland. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2407 Baneberry Ln
Gambrills, MD 21054-1992
Phone: (410) 793-2634
Show map & directions

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

Specialties & licences

Wound Care Registered Nurse (primary) Taxonomy 163WW0000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1225908445
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMagnolia Health Care LLC
Authorized official Shaquilla Vazquez Clark — Owner · (301) 715-3010
NPI enumeratedNovember 11, 2025
Last updated in NPPESJanuary 2, 2026
Certification dateJanuary 2, 2026
Mailing address12530 Fairwood Pkwy Ste 102, Bowie, MD 20720-6357