Provider Demographics
NPI:1720779051
Name:DH HEALTH AND WELLNESS, LLC
Entity Type:Organization
Organization Name:DH HEALTH AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOMINIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVIER
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP, FNP-C
Authorized Official - Phone:443-417-4931
Mailing Address - Street 1:1181 SPARROW MILL WAY
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-6136
Mailing Address - Country:US
Mailing Address - Phone:443-417-4931
Mailing Address - Fax:
Practice Address - Street 1:1181 SPARROW MILL WAY
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-6136
Practice Address - Country:US
Practice Address - Phone:443-417-4931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty