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

Revered-Holistic Healthcare LLC

Organization Family Nurse Practitioner · NPI 1700377876

Revered-Holistic Healthcare LLC is a Family Nurse Practitioner in Columbia, Maryland. Licensed in Maryland. Registered with an NPI since 2018.

Licensed in
MD
In the registry since
2018
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

9861 Broken Land Pkwy Ste 100
Columbia, MD 21046-3031
Phone: (443) 621-2203
Fax: (410) 381-0216
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R194691 (MD)

Record details

NPI number1700377876
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adetutu Awodipe — Owner · (443) 621-2203
Other names Revered Holistic Healthcare Llc; Revered Holistic Healthcare Llc
NPI enumeratedMay 24, 2018
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025
Mailing address4218 Summer Shade Way, Owings Mills, MD 21117-4872

Other providers in Columbia