Organization
HEALTHSPAN COMPREHENSIVE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETERSON NGUYEN PMHNP, CRNP (OWNER)
(410) 988-4418
Entity
Organization
Contact information
Practice address
5502 EDMONDSON AVE, BALTIMORE, MD 21229-2220
(410) 988-4418
Mailing address
4380B MONTGOMERY RD # 1051, ELLICOTT CITY, MD 21043-6006
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/19/2026
Last updated
01/26/2026
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