WELL SPRING HEALTH LLC NPI 1417581315

NPI Information

NPI: 1417581315
Provider Name: WELL SPRING HEALTH LLC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

Address:
835 CRATER LAKE AVE
MEDFORD, OR
ZIP 97504
Phone: (541) 773-7717
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WELL SPRING HEALTH LLC is a gerontology nurse practitioner in Medford, OR. WELL SPRING HEALTH LLC NPI is 1417581315. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

835 CRATER LAKE AVE
MEDFORD, OR
ZIP 97504-505
Phone: (541) 773-7717

The provider's authorized official is Shirley Hanley .
The authorized official title is President and has the following contact phone number (208) 969-0686.

The enumeration date for this NPI number is 2/28/2020 and was last updated on 2/28/2020.

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	363LG0600X	Nurse Practitioner	Gerontology			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: 11/14/2023

NPI Synchronization or Removal

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