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

Manifest Wellness Services LLC

Organization Family Nurse Practitioner · NPI 1851150833

Manifest Wellness Services LLC is a Family Nurse Practitioner in Middle River, Maryland. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2201 Eastern Blvd Ste A
Middle River, MD 21220-4296
Phone: (410) 774-6769
Fax: (443) 596-0057
Show map & directions

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

Additional practice locations (1)

  • 6340 Security Blvd Ste B16, Woodlawn, MD 21207-5173 — (443) 531-4264

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1851150833
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Genevieve Ifeanyichukwu — Chief Executive Officer · (443) 531-4264
Other names Manifest Weight Loss: Lose Weight, Love Life, No Restrictions.
NPI enumeratedMarch 13, 2024
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026
Mailing address2201 Eastern Ave Apt A, Baltimore, MD 21231-3734

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