1003787847 NPI number — FORD WELLNESS NUTRITION AND INTEGRATIVE HEALTH

Table of content: PATRICK JAMES PARCELL CRNA (NPI 1407309677)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003787847 NPI number — FORD WELLNESS NUTRITION AND INTEGRATIVE HEALTH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FORD WELLNESS NUTRITION AND INTEGRATIVE HEALTH
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003787847
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/15/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 83652
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GAITHERSBURG
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20883-3652
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4 TAFT CT STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCKVILLE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20850-5577
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
240-426-4030
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/15/2025

Additional Information

Authorized Official

Authorized Official Last Name:
FORD
Authorized Official First Name:
JONENE
Authorized Official Middle Name:
P
Authorized Official Title or Position:
FOUNDER
Authorized Official Telephone Number:
240-426-4030

Provider Taxonomy Codes

  • Taxonomy code: 133N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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