Healthcare Provider Details

I. General information

NPI: 1619837275
Provider Name (Legal Business Name): HEALTH HAPPINESS AND LONGEVITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2025
Last Update Date: 11/17/2025
Certification Date: 11/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7876 W RIVERSIDE DR
PASADENA MD
21122-3824
US

IV. Provider business mailing address

7876 W RIVERSIDE DR
PASADENA MD
21122-3824
US

V. Phone/Fax

Practice location:
  • Phone: 410-701-0289
  • Fax: 410-734-3072
Mailing address:
  • Phone: 410-701-0289
  • Fax: 410-734-3072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: HANNAH BOLINGER
Title or Position: MANAGING PROVIDER
Credential: CRNP
Phone: 410-701-0289