NPI Index

WELLNESS SOURCE LLC

Nurse Practitioner - Family

Active Organization
NPI: 1780031724

Practice Address

4301 GARDEN CITY DR STE 304
Hyattsville, MD 20785

Phone: (301) 235-0060

Specialties

Specialty Code Primary License
Nurse Practitioner - Psychiatric/Mental Health 363LP0808X No -
Clinical Nurse Specialist - Psychiatric/Mental Health, Adult 364SP0809X No -
Psychiatry & Neurology - Psychiatry 2084P0800X No -
Psychiatry & Neurology - Addiction Psychiatry 2084P0802X No -
Clinic/Center - Primary Care 261QP2300X No -
Nurse Practitioner - Family 363LF0000X Yes -

Frequently Asked Questions

NPI 1780031724 is the National Provider Identifier for WELLNESS SOURCE LLC, a Nurse Practitioner - Family provider located in Hyattsville, MD. This NPI was enumerated on May 19, 2016.

Quick Facts

NPI
1780031724
Type
Organization
Enumerated
May 19, 2016
Last Updated
Mar 8, 2024

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