Organization
PRIME HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARINE NDEKO NP (OWNER)
(240) 436-0550
Entity
Organization
Contact information
Practice address
6200 BALTIMORE AVE STE 300-24, RIVERDALE PARK, MD 20737-1054
(240) 436-0550
(301) 962-2884
Mailing address
6200 BALTIMORE AVE STE 300-24, RIVERDALE, MD 20737-1054
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
04/02/2025
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