| 9 Lives Wellness LLC | |
|
14507 Owings Ave Brandywine MD 20613-5915 | |
| (301) 375-0101 | |
| Not Available |
| Full Name | 9 Lives Wellness LLC |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 14507 Owings Ave, Brandywine, Maryland |
| Authorized Official Name and Position | Carrie Catalan (OWNER) |
| Authorized Official Contact | 3013750101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 9 Lives Wellness LLC 173 Saint Patricks Drive Suite 104 Pmb 3151 Waldorf MD 20603 Ph: (301) 375-0101 | 9 Lives Wellness LLC 14507 Owings Ave Brandywine MD 20613-5915 Ph: (301) 375-0101 |
| NPI Number | 1598621500 |
|---|---|
| Provider Enumeration Date | 01/03/2026 |
| Last Update Date | 01/03/2026 |
| Certification Date | 01/03/2026 |
| Medicare PECOS PAC ID | 9335626480 |
|---|---|
| Medicare Enrollment ID | O20260121001010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598621500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
| 363LF0000X | Nurse Practitioner - Family | () | Primary |
| Provider Name | Carrie Ann Catalan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457963001 PECOS PAC ID: 3779980404 Enrollment ID: I20260121001429 |
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