Lookup NPI Numbers from the NPI Registry
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 |
| NPI # | 1356137905 |
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| LBN Legal business name | BEWELLNESS, LLC | ||||
| Authorized official | JENNIFER KELLER DERAAD - (CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 04/18/2025 | ||||
| Last updated | 05/14/2025 - More than a year ago | ||||
| Identifiers |
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BEWELLNESS, LLC