Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Revered-Holistic Healthcare LLC

Organization Family Nurse Practitioner · NPI 1700377876

Revered-Holistic Healthcare LLC provides Family Nurse Practitioner services 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.

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Practice location Address checks out

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

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