Wellvana Maryland, LLC
NPI #1699407502 in Nashville, Tennessee
Provider Information
- NPI Number
- 1699407502
- Entity Type
- Organization
- Organization Name
- Wellvana Maryland, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WELLVANA HEALTH
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Jun 29, 2022
- Last Updated
- Jun 29, 2022
Practice Location
Authorized Official
- Name
- KYLE WAILES
- Title
- CEO
- Phone
- (401) 378-7336
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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