Proactive Wellnessnp
Proactive Wellnessnp is a Multi-Specialty Clinic/Center in Columbia, Maryland. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
12114 Blue Flag WayColumbia, MD 21044
Phone: (301) 741-0307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|---|
| Recovery Care Clinic/Center | Taxonomy 261QR0800X |
Record details
| NPI number | 1124704085 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kondi Walterssmith — Ceo/ Nurse Practitioner · (301) 741-0307 |
| Other names | Proactive Wellness Np; Proactive Wellness Np |
| NPI enumerated | June 26, 2023 |
| Last updated in NPPES | December 6, 2023 |
| Certification date | December 6, 2023 |
| Mailing address | 12114 Blue Flag Way, Columbia, MD 21044 |
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