# HEALTHSPAN COMPREHENSIVE HEALTH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013876879
- **Authorized official:** PETERSON NGUYEN PMHNP, CRNP (OWNER)
- **Authorized official phone:** (410) 988-4418

## Contact information

- **Practice address:** 5502 EDMONDSON AVE, BALTIMORE, MD 21229-2220
- **Practice address phone:** (410) 988-4418
- **Mailing address:** 4380B MONTGOMERY RD \# 1051, ELLICOTT CITY, MD 21043-6006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/19/2026
- **Last updated:** 06/17/2026