Wellness Legacy LLC

NPI #1265039549 in Bel Air, Maryland

Provider Information

NPI Number
1265039549
Entity Type
Organization
Organization Name
Wellness Legacy LLC
Subpart
Yes (part of a larger organization)
Parent Organization
WELLNESS LEGACY LLC
Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Enumeration Date
Oct 8, 2020
Last Updated
Mar 27, 2024

Practice Location

Address
260 GATEWAY DR STE 13
ZIP Code
21014-4268
Phone
(410) 286-1258

Authorized Official

Name
LERA ISON, CRNP- F
Title
CO- OWNER
Phone
(410) 286-1258

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health

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