Organization
COLLABORATIVE CARE & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY PACK FNP (OWNER)
(410) 245-0210
Entity
Organization
Contact information
Practice address
8028 RITCHIE HWY STE 104, PASADENA, MD 21122-1020
(410) 245-0210
Mailing address
700 SUMMERTIME DR, ODENTON, MD 21113-1590
(410) 245-0210
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
08/09/2023
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