Healthcare Provider Details

I. General information

NPI: 1700488517
Provider Name (Legal Business Name): NEXUS FAMILY WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2020
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9711 WASHINGTONIAN BLVD STE 530
GAITHERSBURG MD
20878-7365
US

IV. Provider business mailing address

9711 WASHINGTONIAN BLVD STE 530
GAITHERSBURG MD
20878-7365
US

V. Phone/Fax

Practice location:
  • Phone: 240-593-6036
  • Fax:
Mailing address:
  • Phone: 240-593-6036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MERYSAH ARINGO
Title or Position: OWNER
Credential: CRNP
Phone: 240-593-6036