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FABULOUS WEAVE , LLC
NPI 1083960801
Durable Medical Equipment & Medical Supplies - Customized Equipment in Waldorf, MD

Active since July 30, 2012
10595 SOURWOOD AVE, WALDORF, MD 20603(301) 645-8765(301) 645-9611 Get Directions Write a Review

NPPES record last updated: July 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fabulous Weave , Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FABULOUS WEAVE , LLC (NPI 1083960801) is a healthcare organization registered as a customized equipment in Waldorf, Maryland and active in the NPI registry since July 2012. The organization lists Andrea Doctor, Rnconsult For Cranial Prosthesis, as its authorized official.

NPPES Registry Identity

NPI1083960801
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameFABULOUS WEAVE , LLC
Location Address10595 SOURWOOD AVEWaldorf, MD 20603-5730
Mailing Address10595 Sourwood AveWaldorf, MD 20603-5730 · (301) 645-8765 · Fax (301) 645-9611
Phone(301) 645-8765
Fax(301) 645-9611
Organization SubpartNo
Authorized OfficialAndrea DoctorRnconsult For Cranial Prosthesis · (301) 609-0845
Enumeration DateJuly 30, 2012
✔ NPI 1083960801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
10595 SOURWOOD AVE, Waldorf, MD 20603
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA A DOCTOR
Registered Nurse
10595 SOURWOOD AVE
WALDORF, MD 20603
Charles County (301) 645-8765

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fabulous Weave , LLC's NPI number?

The NPI number for Fabulous Weave , LLC is 1083960801. It was assigned to this organization in the NPPES registry on July 30, 2012.

Where is Fabulous Weave , LLC located?

Fabulous Weave , LLC is located at 10595 Sourwood Ave, Waldorf, MD 20603. The listed phone number is (301) 645-8765.

What is Fabulous Weave , LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Fabulous Weave , LLC was last updated on July 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.