WOW FACTOR WINNING OPTIONS IN WELLNESS NPI 1891274882

NPI Information

NPI: 1891274882
Provider Name: WOW FACTOR WINNING OPTIONS IN WELLNESS

Other Name: WOW FACTOR HEALTH AND WELLNESS

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
301 HAMLIN ST
GARY, IN
ZIP 46406
Phone: (219) 381-7371
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WOW FACTOR WINNING OPTIONS IN WELLNESS is a family nurse practitioner in Gary, IN. WOW FACTOR WINNING OPTIONS IN WELLNESS NPI is 1891274882. The provider is registered as an organization entity type.
The provider Other Name Is Wow Factor Health And Wellness.

The provider's business location address is:

301 HAMLIN ST
GARY, IN
ZIP 46406-338
Phone: (219) 381-7371

The provider's authorized official is Sandra R Manna .
The authorized official title is Registered Nurse Advance Practice and has the following contact phone number (219) 381-7371.

The enumeration date for this NPI number is 8/9/2018 and was last updated on 1/13/2023.

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	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	71003896A	INDIANA	No
2	3104A0630X	Assisted Living Facility	Assisted Living, Behavioral Disturbances	71003896A	INDIANA	No
3	311ZA0620X	Custodial Care Facility	Adult Care Home	71003896A	INDIANA	No
4	363LP2300X	Nurse Practitioner	Primary Care			No
5	363LF0000X	Nurse Practitioner	Family	71003896A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1891274882	OTHER	INDIANA	NONE

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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