Charm City Wellness Collaborative, LLC
Nurse Practitioner, Family in Baltimore, MD. Organization (NPI-2).
NPI number1649046814
StatusActive
Last updated in NPPESNov 29, 2023
Details
- NPI
- 1649046814
- Entity type
- Organization (NPI-2)
- Legal business name
- Charm City Wellness Collaborative, LLC
- Organization subpart
- No
- Enumeration date
- Nov 29, 2023
- Certification date
- Nov 29, 2023
- Last updated
- Nov 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
| 163WL0100X | Registered Nurse, Lactation Consultant | – | – | |
| 2083A0300X | Preventive Medicine, Addiction Medicine | – | – | |
| 2083P0901X | Preventive Medicine, Public Health & General Preventive Medicine | – | – | |
| 363LN0000X | Nurse Practitioner, Neonatal | – | – | |
| 363LW0102X | Nurse Practitioner, Women's Health | – | – |
Other names
- Charm City Wellness Collaborative, LLC (Other Name)
Practice location
612 Saint Dunstans RdBaltimore, MD 21212-3736
Phone 443-377-3237 · Fax 410-226-7037
Mailing address
5835 York Rd # 1073Baltimore, MD 21212-3612
Phone 410-456-6315
Authorized official
Mk Haber
Founder, Lead Clinician
4104566315
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