WELLNESS CLINIC AND MEDICAL SPA LLC NPI 1851717797

NPI Information

NPI: 1851717797
Provider Name: WELLNESS CLINIC AND MEDICAL SPA LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
128 W MAIN ST
PURCELL, OK
ZIP 73080
Phone: (405) 527-4704
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WELLNESS CLINIC AND MEDICAL SPA LLC is a family nurse practitioner in Purcell, OK. WELLNESS CLINIC AND MEDICAL SPA LLC NPI is 1851717797. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

128 W MAIN ST
PURCELL, OK
ZIP 73080-220
Phone: (405) 527-4704
Fax: (405) 527-5976

The provider's authorized official is Diane Dewbre .
The authorized official title is Nurse Practitioner, Owner and has the following contact phone number (405) 527-4704.

The enumeration date for this NPI number is 3/17/2014 and was last updated on 10/30/2019.

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
1	363LF0000X	Nurse Practitioner	Family	49456	OKLAHOMA	Yes

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

NPI Synchronization or Removal

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