OPTIMAL HEALTH AND WELLNESS NPI 1093309759

NPI Information

  • NPI: 1093309759
  • Provider Name: OPTIMAL HEALTH AND WELLNESS
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 52D2164575
  • Address: 515 SOUTH BLVD STE C
    BARABOO, WI
    ZIP 53913
  • Phone: (608) 844-0496

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NPI Details

OPTIMAL HEALTH AND WELLNESS is a general practice in Baraboo, WI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee OPTIMAL HEALTH AND WELLNESS NPI is 1093309759. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

515 SOUTH BLVD STE C
BARABOO, WI
ZIP 53913-888
Phone: (608) 844-0496

The provider's authorized official is Brandi Zimbelman .
The authorized official title is Owner/apnp and has the following contact phone number (608) 844-0496.

The CLIA number assigned to this NPI record is 52D2164575 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2021 and was last updated on 4/5/2021.

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
1208D00000XGeneral PracticeYes

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: 11/21/2025

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