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Contact Information

FIRST LADY WELLNESS LLC
314 NE 19TH AVE
PORTLAND, OR97232-2829
 Phone: 415-999-2792
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Nutrition, Education

133NN1002X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for FIRST LADY WELLNESS LLC

NPI # 1255160420
LBN Legal business name FIRST LADY WELLNESS LLC
Authorized official ELIZABETH HOLMES - (NURSE PRACTITIONER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/29/2024
Last updated 07/29/2024 - More than a year 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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