Provider Demographics
NPI:1043086135
Name:MY CARE WELLNESS LLC
Entity Type:Organization
Organization Name:MY CARE WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANAH
Authorized Official - Middle Name:HANNAH
Authorized Official - Last Name:SEVALIE
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:240-421-6507
Mailing Address - Street 1:4041 POWDER MILL RD STE 206
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-3106
Mailing Address - Country:US
Mailing Address - Phone:301-806-0997
Mailing Address - Fax:
Practice Address - Street 1:4041 POWDER MILL RD STE 206
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-3106
Practice Address - Country:US
Practice Address - Phone:301-806-0997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty