Provider Demographics
NPI:1093363426
Name:APEX HEALTH AND WELLNESS
Entity Type:Organization
Organization Name:APEX HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:TAIRA
Authorized Official - Middle Name:CORYN
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:541-941-6426
Mailing Address - Street 1:1345 POPLAR DR
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-5207
Mailing Address - Country:US
Mailing Address - Phone:541-200-3240
Mailing Address - Fax:541-200-2341
Practice Address - Street 1:1345 POPLAR DR
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-5207
Practice Address - Country:US
Practice Address - Phone:541-200-3240
Practice Address - Fax:541-200-3241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-28
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty