Proactive Wellness Np

LBN: Proactive Wellnessnp
Proactive Wellness Np is an health care organization with primary practice located at 12114 Blue Flag Way , Columbia MD 21044. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Recovery Care. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Proactive Wellnessnp can be contacted via phone (301) 741-0307, or through Walterssmith, Kondi via phone (301) 741-0307.

Contact Information

Primary practice address
12114 Blue Flag Way Columbia MD 21044
Phone: (301) 741-0307
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Walterssmith, Kondi CRNP
Phone: (301) 741-0307

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Recovery Care 261QR0800X

Profile Details

NPI number 1124704085
LBN Legal business name Proactive Wellnessnp
DBA Doing business as Proactive Wellness Np
Authorized official Walterssmith, Kondi CRNP
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2023
Last updated Dec 6th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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