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NPI Code Detail

MEDICARE: PREMIER WELLNESS HEALTHCARE

MEDICARE: PREMIER WELLNESS HEALTHCARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2363LP2300XPrimary Care Nurse Practitioner
3163WP0807XChild & Adolescent Psychiatric/Mental Health Registered Nurse
4101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1336948728
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMIER WELLNESS HEALTHCARE
Provider Business Mailing Address
First Line : 103 N MAIN ST
Second Line :
City : BEL AIR
State : MD
Zip : 21014-3539
Country : US
Telephone Number : 888-333-1345
Fax Number : 410-732-2025
Provider Business Practice Location Address
First Line : 103 N MAIN ST
Second Line :
City : BEL AIR
State : MD
Zip : 21014-3539
Country : US
Telephone Number : 888-333-1345
Fax Number : 410-732-2025
Authorized Official
Title or Position : OWNER
Name : CYNTHIA DICARA
Credential :
Telephone Number : 888-653-3933
Provider Enumeration Date : 03/10/2025
Last Update Date : 06/09/2026

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1871920892 — MRS. JENNIFER ANN TURPEN CRNP
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1386119121 — REBECCA SUSAN KITCHIN COOPER LCSW-C
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Practice Fax:
1326772815 — LANIKA WILSON
Practice Location Address:
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1275467920 — JANELLA RIANNA NOLASCO BENITEZ PHARMD
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Directions to “PREMIER WELLNESS HEALTHCARE ” Practice Location

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