| Proactive Wellnessnp | |
|
12114 Blue Flag Way Columbia MD 21044 | |
| (301) 741-0307 | |
| Not Available |
| Full Name | Proactive Wellnessnp |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 12114 Blue Flag Way, Columbia, Maryland |
| Authorized Official Name and Position | Kondi Walterssmith (CEO/ NURSE PRACTITIONER) |
| Authorized Official Contact | 3017410307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Wellnessnp 12114 Blue Flag Way Columbia MD 21044 Ph: (301) 741-0307 | Proactive Wellnessnp 12114 Blue Flag Way Columbia MD 21044 Ph: (301) 741-0307 |
| NPI Number | 1124704085 |
|---|---|
| Provider Enumeration Date | 06/26/2023 |
| Last Update Date | 12/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124704085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QR0800X | Clinic/center - Recovery Care | (* (Not Available)) | Secondary |
Ethos Health Maryland 3 Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10840 Little Patuxent Pkwy, Columbia, MD 21044 Phone: 352-732-5590 Fax: 352-732-0292 | |
Provider Partners Care Management Lp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8820 Columbia 100 Pkwy Ste 430, Columbia, MD 21045 Phone: 443-275-9800 | |
Lorien Dialysis, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6334 Cedar Ln, Columbia, MD 21044 Phone: 410-750-7500 | |
Premier Medical Group Of Maryland Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10705 Charter Dr Ste 350, Columbia, MD 21044 Phone: 410-709-7432 | |
University Of Maryland Community Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5900 Waterloo Rd Ste 120, Columbia, MD 21045 Phone: 667-214-2300 | |
Johns Hopkins Community Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8820 Columbia 100 Pkwy Ste 400, Columbia, MD 21045 Phone: 443-939-9600 | |
Johns Hopkins University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11085 Little Patuxent Pkwy Ste 101, Columbia, MD 21044 Phone: 410-760-8840 |