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Contact Information

EVOLUTION HEALTH & WELLNESS LLC
113 JOGGER TRL
MAGNOLIA, DE19962-3255
 Phone: 701-340-4306
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for EVOLUTION HEALTH & WELLNESS LLC

NPI Number 1255198628
LBN Legal business name EVOLUTION HEALTH & WELLNESS LLC
Authorized official KIMBERLY HOLLOWELL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/04/2024
Last updated 03/04/2024 - About 2 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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