Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Healthspan Comprehensive Health

Organization Adult Health Nurse Practitioner · NPI 1013876879

Healthspan Comprehensive Health is an Adult Health Nurse Practitioner in Baltimore, Maryland. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2

Practice location Address checks out

5502 Edmondson Ave
Baltimore, MD 21229-2220
Phone: (410) 988-4418
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Adult Health Nurse Practitioner Taxonomy 363LA2200X

Record details

NPI number1013876879
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peterson Nguyen — Owner · (410) 988-4418
NPI enumeratedJanuary 19, 2026
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026
Mailing address4380b Montgomery Rd # 1051, Ellicott City, MD 21043-6006

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