ELEVATE MENTAL WELLNESS NPI 1598633158

NPI Information

  • NPI: 1598633158
  • Provider Name: ELEVATE MENTAL WELLNESS
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Organization
  • Address: 456 THREE MILE HILL RD
    MIDDLEBURY, CT
    ZIP 06762
  • Phone: (203) 850-0758

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NPI Details

ELEVATE MENTAL WELLNESS is an adult health nurse practitioner in Middlebury, CT. ELEVATE MENTAL WELLNESS NPI is 1598633158. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

456 THREE MILE HILL RD
MIDDLEBURY, CT
ZIP 06762-713
Phone: (203) 850-0758

The provider's authorized official is Jacqueline Murillo .
The authorized official title is Dnp-aprn and has the following contact phone number (203) 850-0758.

The enumeration date for this NPI number is 10/27/2025 and was last updated on 10/27/2025.

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
1363LA2200XNurse PractitionerAdult HealthYes

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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