HEALTHWISE WELLNESS LLC NPI 1184296162

NPI Information

  • NPI: 1184296162
  • Provider Name: HEALTHWISE WELLNESS LLC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 4014 OLD WARREN RD
    PINE BLUFF, AR
    ZIP 71603
  • Phone: (870) 454-4354

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NPI Details

HEALTHWISE WELLNESS LLC is an obstetrics gynecology in Pine Bluff, AR. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. HEALTHWISE WELLNESS LLC NPI is 1184296162. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4014 OLD WARREN RD
PINE BLUFF, AR
ZIP 71603-110
Phone: (870) 454-4354
Fax: (870) 390-4781

The provider's authorized official is Tochi Amagwula .
The authorized official title is Owner and has the following contact phone number (870) 454-4354.

The enumeration date for this NPI number is 7/11/2021 and was last updated on 7/20/2021.

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
1207Q00000XFamily MedicineNo
2207V00000XObstetrics & GynecologyYes
3207VX0000XObstetrics & GynecologyObstetricsNo
4261Q00000XClinic/CenterNo
5261QH0100XClinic/CenterHealth ServiceNo
6261QM1300XClinic/CenterMulti-SpecialtyNo

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: 3/30/2025

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