# PRIME HEALTH AND WELLNESS LLC

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

## Provider details

- **NPI number:** 1730997065
- **Authorized official:** CARINE NDEKO NP (OWNER)
- **Authorized official phone:** (240) 436-0550

## Contact information

- **Practice address:** 6200 BALTIMORE AVE STE 300-24, RIVERDALE PARK, MD 20737-1054
- **Practice address phone:** (240) 436-0550
- **Practice address fax:** (301) 962-2884
- **Mailing address:** 6200 BALTIMORE AVE STE 300-24, RIVERDALE, MD 20737-1054

## Taxonomy

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

## Other

- **Enumeration date:** 12/19/2024
- **Last updated:** 04/02/2025