AHANNA HEALTH AND WELLNESS, LLC
NPI 1891559530
Nurse Practitioner - Adult Health in Waldorf, MD

Q: What is Ahanna Health And Wellness, LLC's NPI number?

The NPI number for Ahanna Health And Wellness, LLC is 1891559530. It was assigned to this organization in the NPPES registry on February 13, 2024.

Q: What is Ahanna Health And Wellness, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since February 13, 2024CLIA 21D2327260 · Waiver

173 SAINT PATRICKS DR STE 104, WALDORF, MD 20603(240) 729-6250(949) 695-4106 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ahanna Health And Wellness, Llc NPPES

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

AHANNA HEALTH AND WELLNESS, LLC (NPI 1891559530) is a healthcare organization registered as an adult health in Waldorf, Maryland and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through July 20, 2027 and lists Tammy L Fusilier, Owner/np, as its authorized official.

NPPES Registry Identity

NPI1891559530

Entity TypeOrganization

Primary Taxonomy363LA2200X

Legal Business NameAHANNA HEALTH AND WELLNESS, LLC

Location Address173 SAINT PATRICKS DR STE 104Waldorf, MD 20603-5530

Mailing Address173 Saint Patricks Dr Ste 104Waldorf, MD 20603-5530 · (240) 729-6250 · Fax (929) 695-4106

Phone(240) 729-6250

Fax(949) 695-4106

Organization SubpartNo

Authorized OfficialTammy L FusilierOwner/np · (240) 729-6250

Enumeration DateFebruary 13, 2024

Last NPPES UpdateApril 15, 2024

NPPES CertifiedApril 15, 2024

✔ NPI 1891559530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

173 SAINT PATRICKS DR STE 104, Waldorf, MD 20603

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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2327260

Ahanna Health And Wellness LLC · Laplata, MD

Active · expires Jul 20, 2027

CLIA Number21D2327260

Laboratory TypePhysician Office

Certificate Effective DateJuly 21, 2025

Certificate Expiration DateJuly 20, 2027

Laboratory DirectorTammy L. Fusilier

Laboratory Phone(240) 729-6250

Laboratory LocationAhanna Health And Wellness LLC109 Lagrange Ave #103, Laplata, MD 20646

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMMY FUSILIER CRNP

Nurse Practitioner (Gerontology)