BLUE HORIZEN WELLNESS NPI 1518857416

NPI Information

  • NPI: 1518857416
  • Provider Name: BLUE HORIZEN WELLNESS
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 52D2330344
  • Address: 3333 S SUNNY SLOPE RD STE 108
    NEW BERLIN, WI
    ZIP 53151
  • Phone: (262) 317-9660

Map and Directions

Get Directions

NPI Details

BLUE HORIZEN WELLNESS is a family medicine in New Berlin, WI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BLUE HORIZEN WELLNESS NPI is 1518857416. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3333 S SUNNY SLOPE RD STE 108
NEW BERLIN, WI
ZIP 53151-504
Phone: (262) 317-9660
Fax: (262) 317-9660

The provider's authorized official is Maryam Shittu .
The authorized official title is Ceo and has the following contact phone number (909) 266-3404.

The CLIA number assigned to this NPI record is 52D2330344 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/3/2025 and was last updated on 7/3/2025.

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
1207Q00000XFamily MedicineYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI