DE MORGAN WELLNESS GROUP NPI 1881132660

NPI Information

DE MORGAN WELLNESS GROUP is a primary care nurse practitioner in Dayton, OH. DE MORGAN WELLNESS GROUP NPI is 1881132660. The provider is registered as an organization entity type.
The provider Is Doing Business As The De Morgan Wellness Group.

The provider's business location address is:

7271 N MAIN ST STE 2
DAYTON, OH
ZIP 45415-561
Phone: (937) 609-0566
Fax: (937) 991-0089

The provider's authorized official is Sandy Marie Anderson .
The authorized official title is Owner and has the following contact phone number (937) 247-6360.

The CLIA number assigned to this NPI record is 36D2126629 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2017 and was last updated on 3/17/2024.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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