Organization
ENVISION HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIE SIMON-WATERMAN DNP, CRNP, PMHNP (OWNER)
(443) 883-1826
Entity
Organization
Contact information
Practice address
9712 BELAIR RD STE 301, NOTTINGHAM, MD 21236-1113
(443) 883-1826
Mailing address
9712 BELAIR RD STE 301, NOTTINGHAM, MD 21236-1113
(443) 883-1826
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
12/05/2024
Last updated
04/18/2025
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