A1 Integrated Wellness, LLC
Nurse Practitioner, Psych/Mental Health in Baltimore, MD. Organization (NPI-2).
NPI number1851180046
StatusActive
Last updated in NPPESMay 5, 2025
Details
- NPI
- 1851180046
- Entity type
- Organization (NPI-2)
- Legal business name
- A1 Integrated Wellness, LLC
- Organization subpart
- No
- Enumeration date
- May 5, 2025
- Certification date
- May 4, 2025
- Last updated
- May 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
| 171400000X | Health & Wellness Coach | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Other names
- A1 Integrated Wellness, LLC (Former Legal Business Name)
Practice location
526 S Conkling StBaltimore, MD 21224-4201
Phone 240-433-3557
Mailing address
526 S Conkling StBaltimore, MD 21224-4201
Phone 240-433-3557 · Fax 463-362-2504
Authorized official
Jylla Deane Artis
Ceo
4432260748
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