AGRARIAN WELLNESS LLC NPI 1174035778

NPI Information

NPI: 1174035778
Provider Name: AGRARIAN WELLNESS, LLC
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Organization

Specialization: Women's Health

CLIA Number: 45D2157056

Address:
17000 EL CAMINO REAL STE 209
HOUSTON, TX
ZIP 77058
Phone: (832) 284-4328
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AGRARIAN WELLNESS, LLC is a women's health nurse practitioner in Houston, TX. AGRARIAN WELLNESS, LLC NPI is 1174035778. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17000 EL CAMINO REAL STE 209
HOUSTON, TX
ZIP 77058
Phone: (832) 284-4328
Fax: (832) 284-4728

The provider's authorized official is Latia Hickerson .
The authorized official title is Owner and has the following contact phone number (832) 930-6345.

The CLIA number assigned to this NPI record is 45D2157056 - independent with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/4/2017 and was last updated on 6/6/2018.

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	163WL0100X	Registered Nurse	Lactation Consultant			No
2	363LW0102X	Nurse Practitioner	Women's Health		TEXAS	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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