HEADWATERS WELLNESS PLLC NPI 1811657216

NPI Information

NPI: 1811657216
Provider Name: HEADWATERS WELLNESS PLLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
118 MAIN ST
KALISPELL, MT
ZIP 59901
Phone: (406) 219-1104
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HEADWATERS WELLNESS PLLC is a multi-specialty clinic center in Kalispell, MT. HEADWATERS WELLNESS PLLC NPI is 1811657216. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

118 MAIN ST
KALISPELL, MT
ZIP 59901-452
Phone: (406) 219-1104

The provider's authorized official is Brittany Eppard .
The authorized official title is Owner/aprn and has the following contact phone number (406) 219-1104.

The enumeration date for this NPI number is 12/27/2021 and was last updated on 11/3/2022.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			No
2	261QM1300X	Clinic/Center	Multi-Specialty			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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