PRESQUE ISLE MIND-BODY WELLNESS CENTER PLLC NPI 1467096164

NPI Information

NPI: 1467096164
Provider Name: PRESQUE ISLE MIND-BODY WELLNESS CENTER, PLLC
Classification: Registered Nurse - 163WP0809X
Entity Type: Organization

Specialization: Psychiatric/Mental Health, Adult

Address:
2500 PALERMO DR
ERIE, PA
ZIP 16506
Phone: (814) 860-3179
Get Directions

PRESQUE ISLE MIND-BODY WELLNESS CENTER, PLLC is a psychiatric/mental health and adult registered nurse in Erie, PA. PRESQUE ISLE MIND-BODY WELLNESS CENTER, PLLC NPI is 1467096164. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2500 PALERMO DR
ERIE, PA
ZIP 16506-206
Phone: (814) 860-3179
Fax: (814) 616-7400

The provider's authorized official is Kelly Weary .
The authorized official title is Manager and has the following contact phone number (814) 860-3179.

The enumeration date for this NPI number is 11/5/2019 and was last updated on 2/15/2022.

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	163W00000X	Registered Nurse		No
2	2084P0800X	Psychiatry & Neurology	Psychiatry	No
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
5	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	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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