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 |
| 1 | 163WI0500X | Registered Nurse | Infusion Therapy | | | No |
| 2 | 171400000X | Health and Wellness Coach | | | | No |
| 3 | 173000000X | Legal Medicine | | | | No |
| 4 | 2083B0002X | Preventive Medicine | Obesity Medicine | | | No |
| 5 | 2083P0901X | Preventive Medicine | Public Health & General Preventive Medicine | | | No |
| 6 | 261QH0100X | Clinic/Center | Health Service | | | No |
| 7 | 363L00000X | Nurse Practitioner | | | | Yes |