Organization · Type 2 NPI
Healthspan Comprehensive Health
Psychiatric/Mental Health Nurse Practitioner · Baltimore, MD
NPI number
1013876879
Active
Practice location
5502 Edmondson Ave
Baltimore, MD 21229-2220
Mailing address
4380B Montgomery Rd # 1051
Ellicott City, MD 21043-6006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1013876879
Healthspan Comprehensive Health's National Provider Identifier is 1013876879, issued on Jan 19, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Baltimore, MD. The record was last updated on Jun 17, 2026.