MEDICARE: DIMENSIONS WELLNESS II LLC

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
1	363LP2300X	Primary Care Nurse Practitioner

General Provider Information

NPI Number	:	1346121993
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIMENSIONS WELLNESS II LLC

Provider Business Mailing Address
First Line	:	2514 APPLETON LN
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20716-1568
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2514 APPLETON LN
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20716-1568
Country	:	US
Telephone Number	:	301-433-5977
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. PAULA MARIE YOUNG
Credential	:	NP
Telephone Number	:	301-821-1532

Provider Enumeration Date	:	09/10/2025
Last Update Date	:	09/10/2025

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