# WELLSVIEWCARE LLC

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

## Provider details

- **NPI number:** 1104492073
- **Authorized official:** KATHERINE K R MAHOOD MAC / LAC (ACUPUNCTURIST)
- **Authorized official phone:** (410) 266-5608

## Contact information

- **Practice address:** 613 RIDGELY AVE, ANNAPOLIS, MD 21401-1069
- **Practice address phone:** (410) 266-5608
- **Mailing address:** 611 RIDGELY AVENUE, WELLSVIEW COTTAGE CENTER, ANNAPOLIS, MD 21401
- **Mailing address phone:** (410) 353-3003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/01/2021
- **Last updated:** 06/01/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1134378334 | CRNP | MD |
| 01 | — | 1346531183 | LAC | MD |