Provider Demographics
NPI:1437567484
Name:SUNFLOWER HEALTH & WELLNESS CONSULTANTS
Entity Type:Organization
Organization Name:SUNFLOWER HEALTH & WELLNESS CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:301-219-7921
Mailing Address - Street 1:438 N FREDERICK AVE STE 320
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-2458
Mailing Address - Country:US
Mailing Address - Phone:240-631-0200
Mailing Address - Fax:240-631-0300
Practice Address - Street 1:483 N FREDERICK AVE
Practice Address - Street 2:SUITE 320
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2545
Practice Address - Country:US
Practice Address - Phone:240-631-0200
Practice Address - Fax:240-631-0300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-22
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR151109261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD541245500Medicaid