Provider Demographics
NPI:1235567637
Name:INVEST 4 WELLNESS
Entity Type:Organization
Organization Name:INVEST 4 WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH EDUCATOR NUTRITIONAL COUNSEL
Authorized Official - Prefix:MS
Authorized Official - First Name:EVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:ADULT NURSE PRACTITI
Authorized Official - Phone:718-551-8440
Mailing Address - Street 1:629 HANCOCK STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11233
Mailing Address - Country:US
Mailing Address - Phone:718-551-8440
Mailing Address - Fax:
Practice Address - Street 1:629 HANCOCK STREET
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11233
Practice Address - Country:US
Practice Address - Phone:718-551-8440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-22
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF304314-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty