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

Wellness Legacy LLC

Organization Nurse Practitioner · NPI 1134777576

Wellness Legacy LLC is a Nurse Practitioner in Bel Air, Maryland. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
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

260 Gateway Dr Ste 13
Bel Air, MD 21014-4268
Phone: (410) 286-1258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1134777576
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Ison — Co-Owner · (410) 286-1258
Other names Wellness Legacy Llc; Wellness Legacy Llc
NPI enumeratedAugust 28, 2019
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024
Mailing address1539 Blakes Legacy Dr, Bel Air, MD 21014-1946

Other providers in Bel Air