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Contact Information

BEWELLNESS, LLC
1315 OAKRIDGE DR STE 100
FORT COLLINS, CO80525-7338
 Phone: 970-829-1129
 Fax: 949-655-8678
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BEWELLNESS LLC · (Female)

NPI Number 1356137905
Status Active
Credentials
Entity Individual
Enumeration date 04/18/2025
Last updated 05/14/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • OH Medicaid 1063793289
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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