BALANCED WELLNESS LLC NPI 1790433456

NPI Information

NPI: 1790433456
Provider Name: BALANCED WELLNESS LLC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
4142 S HARVARD AVE STE D3
TULSA, OK
ZIP 74135
Phone: (918) 716-9717
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BALANCED WELLNESS LLC is a primary care nurse practitioner in Tulsa, OK. BALANCED WELLNESS LLC NPI is 1790433456. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4142 S HARVARD AVE STE D3
TULSA, OK
ZIP 74135-617
Phone: (918) 716-9717

The provider's authorized official is Jessica Ann Brewer .
The authorized official title is Nurse Practitioner and has the following contact phone number (918) 716-9717.

The enumeration date for this NPI number is 3/11/2022 and was last updated on 3/11/2022.

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	Primary
1	171M00000X	Case Manager/Care Coordinator		No
2	363L00000X	Nurse Practitioner		No
3	363LP2300X	Nurse Practitioner	Primary Care	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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