1124704085 PROACTIVE WELLNESSNP

Multi-Specialty Clinic/Center

Active

Basic Information

Organization Name
PROACTIVE WELLNESSNP
Enumeration Date
June 26, 2023
Last Update
December 6, 2023
Authorized Official
KONDI WALTERSSMITH CRNP
CEO/ NURSE PRACTITIONER
Phone: (301) 741-0307

Practice Location

Address
12114 BLUE FLAG WAY
COLUMBIA, MD 21044
Phone
(301) 741-0307

Mailing Address

Address
12114 BLUE FLAG WAY
COLUMBIA, MD 21044
Phone
(301) 741-0307

Specialties & Taxonomies

Specialty Code Classification License State Primary
Recovery Care Clinic/Center
Recovery Care
261QR0800X Clinic/Center N/A N/A No
Multi-Specialty Clinic/Center
Multi-Specialty
261QM1300X Clinic/Center N/A N/A Primary

Frequently Asked Questions

What is PROACTIVE WELLNESSNP's NPI number?
PROACTIVE WELLNESSNP's NPI number is 1124704085.
Which doctor has NPI number 1124704085?
The doctor with NPI number 1124704085 is PROACTIVE WELLNESSNP.
What is PROACTIVE WELLNESSNP's practice address?
PROACTIVE WELLNESSNP's practice address is 12114 BLUE FLAG WAY, COLUMBIA, MD, 21044.
Which doctor practices at 12114 BLUE FLAG WAY, COLUMBIA, MD, 21044?
PROACTIVE WELLNESSNP practices at 12114 BLUE FLAG WAY, COLUMBIA, MD, 21044.
What is PROACTIVE WELLNESSNP's phone number?
PROACTIVE WELLNESSNP's phone number is (301) 741-0307.
Who is (301) 741-0307?
(301) 741-0307 is the phone number for PROACTIVE WELLNESSNP.
What is PROACTIVE WELLNESSNP's specialty?
PROACTIVE WELLNESSNP's specialty is Multi-Specialty Clinic/Center.
What type of doctor is PROACTIVE WELLNESSNP?
PROACTIVE WELLNESSNP is a Multi-Specialty Clinic/Center.
Is PROACTIVE WELLNESSNP a Multi-Specialty?
Yes, PROACTIVE WELLNESSNP is a Multi-Specialty.
Is PROACTIVE WELLNESSNP still practicing?
Yes, PROACTIVE WELLNESSNP is currently practicing.
Is PROACTIVE WELLNESSNP accepting new patients?
PROACTIVE WELLNESSNP may be accepting new patients. Please call their office at (301) 741-0307 to inquire about availability.
Is NPI 1124704085 still active?
Yes, NPI 1124704085 is currently active.
Where does PROACTIVE WELLNESSNP practice?
PROACTIVE WELLNESSNP practices in COLUMBIA, MD.