# AHANNA HEALTH AND WELLNESS, LLC

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

## Provider details

- **NPI number:** 1891559530
- **Authorized official:** TAMMY L FUSILIER CRNP (OWNER/NP)
- **Authorized official phone:** (240) 729-6250

## Contact information

- **Practice address:** 173 SAINT PATRICKS DR STE 104, WALDORF, MD 20603-5530
- **Practice address phone:** (240) 729-6250
- **Practice address fax:** (949) 695-4106
- **Mailing address:** 173 SAINT PATRICKS DR STE 104, WALDORF, MD 20603-5530
- **Mailing address phone:** (240) 729-6250
- **Mailing address fax:** (929) 695-4106

## Taxonomy

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

## Other

- **Enumeration date:** 02/13/2024
- **Last updated:** 04/15/2024