Provider Demographics
NPI:1861193906
Name:WELL TIMED HEALTHCARE LLC
Entity type:Organization
Organization Name:WELL TIMED HEALTHCARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:GLENOVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN-SEALEY
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:443-671-4085
Mailing Address - Street 1:201 E PATRICK ST STE 4211
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-5631
Mailing Address - Country:US
Mailing Address - Phone:443-671-4085
Mailing Address - Fax:
Practice Address - Street 1:201 E PATRICK ST STE 4211
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-5631
Practice Address - Country:US
Practice Address - Phone:443-671-4085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-15
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty