NPIMap

Ananda Holistics and Wellness Clinic LLC

Organization Active NPI Family Nurse Practitioner · College Park, MD

NPI 1063379535 · NPPES record last updated Jan 7, 2026

Key facts

NPI
1063379535
Entity type
Organization (NPI type 2)
Primary specialty
Family Nurse Practitioner 363LF0000X
Legal business name
ANANDA HOLISTICS AND WELLNESS CLINIC LLC
Practice address
10105 Baltimore Ave Apt 3401
College Park, MD 20740-4231
Phone
(240) 622-5158
Fax
(667) 401-1046
NPI assigned
Jan 7, 2026
Organization subpart
No

Authorized official

Name
Olga M Hall, FNP
Title
Nurse Practitioner
Phone
(410) 937-1766

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20260225000057 MD Part B Supplier - Clinic/Group Practice 7618458969 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP		 363LF0000X Yes

Addresses

Primary practice location

10105 Baltimore Ave Apt 3401
College Park, MD 20740-4231

Mailing address

2450 Rye St Apt 843
Baltimore, MD 21230-5618
Phone (240) 622-5158

Other providers in College Park, MD

All providers in College Park, MD · Family Nurse Practitioner in Maryland

Sources for this page

Verify at the official NPI Registry.