RENEWED HEALTH AND WELLNESS LLC NPI 1083358378

NPI Information

NPI: 1083358378
Provider Name: RENEWED HEALTH AND WELLNESS LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
615 W JOHNSON AVE STE 202-1061
CHESHIRE, CT
ZIP 06410
Phone: (475) 377-0887
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RENEWED HEALTH AND WELLNESS LLC is a family nurse practitioner in Cheshire, CT. RENEWED HEALTH AND WELLNESS LLC NPI is 1083358378. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

615 W JOHNSON AVE STE 202-1061
CHESHIRE, CT
ZIP 06410-531
Phone: (475) 377-0887
Fax: (806) 454-5698

The provider's authorized official is Awilda Altagracia Lugo Mendez .
The authorized official title is Managing Member and has the following contact phone number (203) 510-1187.

The enumeration date for this NPI number is 4/23/2022 and was last updated on 8/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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