Organization
WELL LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY WATKINS CRNP PMHNP-BC (CEO)
(443) 939-5654
Entity
Organization
Contact information
Practice address
4709 HARFORD RD # 187, BALTIMORE, MD 21214-3261
(443) 840-9626
Mailing address
1536 PENTWOOD RD, BALTIMORE, MD 21239-4036
(443) 939-5654
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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