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Contact Information

WONDERFULLY MADE WELLNESS SANCTUARY
105 S. TENNESSEE STREET SUITE 102
MCKINNEY, TX75069
 Phone: 469-631-0023
 Fax: 469-631-0209
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Neonatal, Critical Care

363LN0005X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for WONDERFULLY MADE WELLNESS SANCTUARY · (Female)

NPI # 1114552916
Status Active
Credentials
Entity Individual
Enumeration date 03/12/2020
Last updated 09/03/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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