Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
261QP2300X | |||
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1780172932 |
| LBN Legal business name | 901 HEALTH & WELLNESS CLINIC PLLC |
| Authorized official | POLLYANN SCHOLZE - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/24/2018 |
| Last updated | 04/24/2018 - About 8 years ago |
| Identifiers | n/a |
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901 HEALTH & WELLNESS CLINIC PLLC
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