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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