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Organization

ENVISION HEALTH AND WELLNESS

Active
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Organization

ENVISION HEALTH AND WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTIE SIMON-WATERMAN CRNP (OWNER/ PROVIDER)
(443) 867-7471
Entity
Organization

Contact information

Practice address
2 W ROLLING XRDS STE 111, CATONSVILLE, MD 21228-6211
(443) 867-7471
Mailing address
5122 CREST HAVEN WAY PERRY HALL MD 21128, PERRY HALL, MD 21128
(443) 867-7471

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary

Other

Enumeration date
10/12/2020
Last updated
10/12/2020
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