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WELLINGTON PROVIDER GROUP PC NPI 1255043378


NPI Information

NPI: 1255043378
Provider Name: WELLINGTON PROVIDER GROUP PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
650 POYDRAS ST STE 1400
NEW ORLEANS, LA
ZIP 70130
Phone: (859) 518-8817
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WELLINGTON PROVIDER GROUP PC is a family medicine in New Orleans, LA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WELLINGTON PROVIDER GROUP PC NPI is 1255043378. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

650 POYDRAS ST STE 1400
NEW ORLEANS, LA
ZIP 70130-116
Phone: (859) 518-8817
Fax: (859) 201-1084

The provider's authorized official is Mariela Bravo .
The authorized official title is Credentialing Team Lead and has the following contact phone number (859) 518-8817.

The enumeration date for this NPI number is 12/20/2022 and was last updated on 12/20/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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