Healthcare Provider Details

I. General information

NPI: 1699607341
Provider Name (Legal Business Name): NORTH STAR WELLNESS CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3807 STEPPING STONE LN
BURTONSVILLE MD
20866-1936
US

IV. Provider business mailing address

3807 STEPPING STONE LN
BURTONSVILLE MD
20866-1936
US

V. Phone/Fax

Practice location:
  • Phone: 240-396-7676
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ZUHIRA SHIFA
Title or Position: CEO, MEDICAL DIRECTOR
Credential: PMHNP, DNP
Phone: 240-396-7676