Organization · Type 2 NPI

Ananda Holistics and Wellness Clinic LLC

Family Nurse Practitioner · College Park, MD

NPI number 1063379535 Active

Practice location

10105 Baltimore Ave Apt 3401
College Park, MD 20740-4231

Fax (667) 401-1046

Mailing address

2450 Rye St Apt 843
Baltimore, MD 21230-5618

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1063379535

Ananda Holistics and Wellness Clinic LLC's National Provider Identifier is 1063379535, issued on Jan 7, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in College Park, MD. The record was last updated on Jan 7, 2026.