Provider Demographics
NPI:1225463953
Name:TULA WELLNESS PLLC
Entity Type:Organization
Organization Name:TULA WELLNESS PLLC
Other - Org Name:TULA WELLNESS PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARIANNA
Authorized Official - Middle Name:BERLYNN
Authorized Official - Last Name:SHOLES-DOUGLAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-577-1129
Mailing Address - Street 1:3170 N SWAN RD STE 110
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-1254
Mailing Address - Country:US
Mailing Address - Phone:520-577-1129
Mailing Address - Fax:
Practice Address - Street 1:3170 N SWAN RD STE 110
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1254
Practice Address - Country:US
Practice Address - Phone:520-577-1129
Practice Address - Fax:520-577-1123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-12
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty