# WELLSPRING CLINIC LLC

> 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:** 1831443787
- **Authorized official:** NKIRUKA ARENE M.D. (DIRECTOR)
- **Authorized official phone:** (443) 371-9750

## Contact information

- **Practice address:** 2012 S TOLLGATE RD STE 207, BEL AIR, MD 21015-5902
- **Practice address phone:** (443) 371-9750
- **Practice address fax:** (443) 371-9751
- **Mailing address:** 2012 S TOLLGATE RD STE 207, BEL AIR, MD 21015-5902
- **Mailing address phone:** (443) 371-9750
- **Mailing address fax:** (443) 371-9751

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081P0301X | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P0301X | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | D63924 | MD | — |

## Other

- **Enumeration date:** 10/30/2012
- **Last updated:** 11/27/2023