HEALTH ESSENTIAL LLC NPI 1932725942

NPI Information

NPI: 1932725942
Provider Name: HEALTH ESSENTIAL LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 15D0358230

Address:
3030 LAKE AVE STE 14
FORT WAYNE, IN
ZIP 46805
Phone: (260) 749-0643
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HEALTH ESSENTIAL LLC is a family nurse practitioner in Fort Wayne, IN. HEALTH ESSENTIAL LLC NPI is 1932725942. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3030 LAKE AVE STE 14
FORT WAYNE, IN
ZIP 46805-428
Phone: (260) 749-0643

The provider's authorized official is Angela M. Stewart-martin .
The authorized official title is Owner and has the following contact phone number (260) 580-6836.

The CLIA number assigned to this NPI record is 15D0358230 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2020 and was last updated on 6/18/2021.

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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