ADVANCED HEALTH & WELLNESS LLC NPI 1588222525

NPI Information

NPI: 1588222525
Provider Name: ADVANCED HEALTH & WELLNESS LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1252 E QUINCY ST
BROKEN ARROW, OK
ZIP 74012
Phone: (918) 261-4439
Get Directions

ADVANCED HEALTH & WELLNESS LLC is a family nurse practitioner in Broken Arrow, OK. ADVANCED HEALTH & WELLNESS LLC NPI is 1588222525. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1252 E QUINCY ST
BROKEN ARROW, OK
ZIP 74012-637
Phone: (918) 261-4439
Fax: (877) 992-9262

The provider's authorized official is Patsy J Wiseman .
The authorized official title is Provider and has the following contact phone number (918) 261-4439.

The enumeration date for this NPI number is 6/4/2019 and was last updated on 6/4/2019.

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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