Provider Demographics
NPI:1114551223
Name:TRIUNE HEALTH AND WELLNESS
Entity Type:Organization
Organization Name:TRIUNE HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DELECIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRANNELL
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:515-478-9660
Mailing Address - Street 1:715 COTTAGE ST
Mailing Address - Street 2:
Mailing Address - City:ADEL
Mailing Address - State:IA
Mailing Address - Zip Code:50003-2111
Mailing Address - Country:US
Mailing Address - Phone:515-478-9660
Mailing Address - Fax:
Practice Address - Street 1:715 COTTAGE ST
Practice Address - Street 2:
Practice Address - City:ADEL
Practice Address - State:IA
Practice Address - Zip Code:50003-2111
Practice Address - Country:US
Practice Address - Phone:515-478-9660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-27
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty