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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

NPI # 1114552916
LBN Legal business name WONDERFULLY MADE WELLNESS SANCTUARY
Authorized official MICHELLE ROWTON - (OWNER, CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/12/2020
Last updated 09/03/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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