Envision Health And Wellness
Nurse Practitioner, Family in Nottingham, MD. Organization (NPI-2).
NPI number1750197661
StatusActive
Last updated in NPPESApr 18, 2025
Details
- NPI
- 1750197661
- Entity type
- Organization (NPI-2)
- Legal business name
- Envision Health And Wellness
- Organization subpart
- No
- Enumeration date
- Dec 5, 2024
- Certification date
- Apr 18, 2025
- Last updated
- Apr 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QP2300X | Clinic/Center, Primary Care | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Practice location
9712 Belair Rd Ste 301Nottingham, MD 21236-1113
Phone 443-883-1826
Mailing address
9712 Belair Rd Ste 301Nottingham, MD 21236-1113
Phone 443-883-1826
Authorized official
Christie Simon-Waterman
Owner
4438831826
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