# WOMEN'S WELLNESS LOUNGE

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

## Provider details

- **NPI number:** 1275233512
- **Authorized official:** DELAYNA KELLER RN (OWNER)
- **Authorized official phone:** (443) 303-6732

## Contact information

- **Practice address:** 415 N HOWARD ST, BALTIMORE, MD 21201-3641
- **Practice address phone:** (443) 303-6732
- **Mailing address:** 415 N HOWARD ST, BALTIMORE, MD 21201-3641
- **Mailing address phone:** (443) 303-6732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 163WW0101X | Ambulatory Women's Health Care Registered Nurse | — | NULL | Yes |
| 163WW0101X | Ambulatory Women's Health Care Registered Nurse | — | — | Yes |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | NULL | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/06/2023
- **Last updated:** 03/06/2023