Organization · Type 2 NPI

Manifest Wellness Services LLC

Family Nurse Practitioner · Middle River, MD

NPI number 1851150833 Active

Practice location

2201 Eastern Blvd Ste A
Middle River, MD 21220-4296

Fax (443) 596-0057

Mailing address

2201 Eastern Ave Apt A
Baltimore, MD 21231-3734

Other practice locations

  • 6340 Security Blvd Ste B16, Woodlawn, MD 21207-5173 · (443) 531-4264

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

4 other providers at this address

Other family nurse practitioner providers in Middle River

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About NPI 1851150833

Manifest Wellness Services LLC's National Provider Identifier is 1851150833, issued on Mar 13, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Middle River, MD. The record was last updated on Jun 12, 2026.