Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1043620966 |
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| LBN Legal business name | ADVANCED WELLNESS CARE P.C. | ||||||||
| Authorized official | ALTHEIA WARE - (OWNER/PROVIDER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 04/30/2014 | ||||||||
| Last updated | 08/18/2016 - About 10 years ago | ||||||||
| Identifiers |
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