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

Wellvana Maryland, LLC

Organization Preferred Provider Organization · NPI 1699407502

Wellvana Maryland, LLC is a Preferred Provider Organization in Nashville, Tennessee. Registered with an NPI since 2022.

In the registry since
2022
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

4840 Centennial Blvd Ste 202
Nashville, TN 37209-1792
Phone: (860) 501-7908
Show map & directions

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

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X

Record details

NPI number1699407502
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWellvana Health
Authorized official Kyle Wailes — Ceo · (401) 378-7336
NPI enumeratedJune 29, 2022
Last updated in NPPESJune 29, 2022
Certification dateJune 29, 2022
Mailing address4840 Centennial Blvd Ste 202, Nashville, TN 37209-1792

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