Organization · Type 2 NPI
Wellness Legacy LLC
Psychiatric/Mental Health Nurse Practitioner · Bel Air, MD
NPI number
1265039549
Active
Practice location
260 Gateway Dr Ste 13
Bel Air, MD 21014-4268
Mailing address
1539 Blakes Legacy Dr
Bel Air, MD 21014-1946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1265039549
Wellness Legacy LLC's National Provider Identifier is 1265039549, issued on Oct 8, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bel Air, MD. The record was last updated on Mar 27, 2024.