Provider Demographics
NPI:1558256297
Name:ADVANCED WOUNDCARE ON WHEELS LLC
Entity type:Organization
Organization Name:ADVANCED WOUNDCARE ON WHEELS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TUKPAH
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CRNP, CWCN-AP
Authorized Official - Phone:301-875-2607
Mailing Address - Street 1:10915 MELWOOD PARK PL STE 202
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-7413
Mailing Address - Country:US
Mailing Address - Phone:301-875-2607
Mailing Address - Fax:947-200-0765
Practice Address - Street 1:10915 MELWOOD PARK PL STE 202
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-7413
Practice Address - Country:US
Practice Address - Phone:301-875-2607
Practice Address - Fax:947-200-0765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Single Specialty