INNOVATIVE WELLNESS NPI 1477420073

NPI Information

  • NPI: 1477420073
  • Provider Name: INNOVATIVE WELLNESS
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 14225 UNIVERSITY AVE STE 225
    WAUKEE, IA
    ZIP 50263
  • Phone: (515) 355-3200

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NPI Details

INNOVATIVE WELLNESS is a family nurse practitioner in Waukee, IA. INNOVATIVE WELLNESS NPI is 1477420073. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14225 UNIVERSITY AVE STE 225
WAUKEE, IA
ZIP 50263-248
Phone: (515) 355-3200
Fax: (515) 598-7626

The provider's authorized official is Wendy White .
The authorized official title is Credentialing Specialist and has the following contact phone number (304) 688-7027.

The enumeration date for this NPI number is 10/20/2025 and was last updated on 10/20/2025.

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
1363LF0000XNurse PractitionerFamilyYes

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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