Organization
SKY WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN CONDOURIS CRNP (OWNER)
(410) 609-9684
Entity
Organization
Contact information
Practice address
4544 KESWICK RD, BALTIMORE, MD 21210-2515
(410) 609-9684
Mailing address
2402 BRAMBLETON RD, BALTIMORE, MD 21209-4324
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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