Pathway To Wellness Healthcare Center

LBN: Pathway To Wellness Healthcare Center
Pathway To Wellness Healthcare Center is an health care organization with primary practice located at 1120 N Charles St Ste 400 , Baltimore MD 21201-5594. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Pathway To Wellness Healthcare Center can be contacted via phone (443) 739-3814, or through Hickson, Nicole Denise via phone (443) 739-3814.

Contact Information

Primary practice address
1120 N Charles St Ste 400 Baltimore MD 21201-5594
Phone: (443) 739-3814
Fax: (833) 975-0904
Website:
Map and Directions
Authorized official contact:
Name: Hickson, Nicole Denise CRNP
Phone: (443) 739-3814

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1265040380
LBN Legal business name Pathway To Wellness Healthcare Center
DBA Doing business as
Authorized official Hickson, Nicole Denise CRNP
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2020
Last updated Apr 19th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265040380 NPPES
Maryland MEDICAID 666351600

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