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NPI Profile for 820 LIFESTYLE AND WELLNESS LLC in GADSDEN, AL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1053290783 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/27/2025 | |
| Last updated | 08/27/2025 - About 9 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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820 LIFESTYLE AND WELLNESS LLC