Moonglade Integrative LLC
Moonglade Integrative LLC is a Primary Care Clinic/Center in Grantsville, Maryland. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3233B Chestnut Ridge RdGrantsville, MD 21536-1370
Phone: (240) 321-2770
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X |
|---|---|
| Family Nurse Practitioner | Taxonomy 363LF0000X |
Record details
| NPI number | 1568245595 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer Resh — Employee · (240) 321-2770 |
| NPI enumerated | August 15, 2023 |
| Last updated in NPPES | February 12, 2024 |
| Certification date | February 12, 2024 |
| Mailing address | 300 Stiff Rd, Addison, PA 15411-2057 |
Other providers in Grantsville
-
Affiliated Physicians
32 Corporate Drive Grantsville Medical Ctr, Grantsville, MD 21536-1259 · (301) 895-3922
-
F Daniel Jackson, MD, PA
32 Corporate Dr Grantsville Medical Ctr, Grantsville, MD 21536-1259 · (301) 895-3922