PROACTIVE WELLNESSNP is a multi-specialty clinic center in Columbia, MD. PROACTIVE WELLNESSNP NPI is 1124704085. The provider is registered as an organization entity type. The provider Is Doing Business As Proactive Wellness Np.
The provider's business location address is:
12114 BLUE FLAG WAY COLUMBIA, MD ZIP 21044 Phone: (301) 741-0307
The provider's authorized official is Kondi Walterssmith . The authorized official title is Ceo/ Nurse Practitioner and has the following contact phone number (301) 741-0307.
The enumeration date for this NPI number is 6/26/2023 and was last updated on 12/6/2023.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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