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COLLABORATIVE CARE & WELLNESS LLC
NPI 1164124269
Nurse Practitioner - Family in Pasadena, MD

Active since March 21, 2023
8028 RITCHIE HWY STE 104, PASADENA, MD 21122(410) 245-0210 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2023, Mar 21, 2023 (2 updates tracked since 2023).

About Collaborative Care & Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLABORATIVE CARE & WELLNESS LLC (NPI 1164124269) is a healthcare organization registered as a family in Pasadena, Maryland and active in the NPI registry since March 2023. The organization lists Shirley Pack, Owner, as its authorized official.

NPPES Registry Identity

NPI1164124269
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOLLABORATIVE CARE & WELLNESS LLC
Location Address8028 RITCHIE HWY STE 104Pasadena, MD 21122-1020
Mailing Address700 Summertime DrOdenton, MD 21113-1590 · (410) 245-0210
Phone(410) 245-0210
Organization SubpartNo
Authorized OfficialShirley PackOwner · (410) 245-0210
Enumeration DateMarch 21, 2023
Last NPPES UpdateAugust 9, 20232 updates tracked since enumeration
NPPES CertifiedMarch 21, 2023
✔ NPI 1164124269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
8028 RITCHIE HWY STE 104, Pasadena, MD 21122
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Collaborative Care & Wellness LLC's NPI number?

The NPI number for Collaborative Care & Wellness LLC is 1164124269. It was assigned to this organization in the NPPES registry on March 21, 2023.

Where is Collaborative Care & Wellness LLC located?

Collaborative Care & Wellness LLC is located at 8028 Ritchie Hwy Ste 104, Pasadena, MD 21122. The listed phone number is (410) 245-0210.

What is Collaborative Care & Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Collaborative Care & Wellness LLC was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.