Provider Demographics
NPI:1164066551
Name:ALLSWELL WELLNESS LLC
Entity Type:Organization
Organization Name:ALLSWELL WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:JULIANA
Authorized Official - Middle Name:ABIGAIL
Authorized Official - Last Name:BADU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-318-8482
Mailing Address - Street 1:4902 SILVER CREEK CT
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-2629
Mailing Address - Country:US
Mailing Address - Phone:301-318-8482
Mailing Address - Fax:
Practice Address - Street 1:4902 SILVER CREEK CT
Practice Address - Street 2:
Practice Address - City:LIBERTY TWP
Practice Address - State:OH
Practice Address - Zip Code:45011-2629
Practice Address - Country:US
Practice Address - Phone:301-318-8482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-29
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health