# CUSTOM MADE WEIGHT LOSS AND NURSING SOLUTIONS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Wellness NPs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093361057
- **Authorized official:** BERMESOLA M DYER (CEO)
- **Authorized official phone:** (202) 505-5207

## Contact information

- **Practice address:** 372 MAIN ST STE 2, LAUREL, MD 20707-4133
- **Practice address phone:** (240) 294-4079
- **Mailing address:** 372 MAIN ST STE 2, LAUREL, MD 20707-4133
- **Mailing address phone:** (240) 294-4079
- **Mailing address fax:** (240) 559-0085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | NULL | — |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/15/2019
- **Last updated:** 07/22/2025
