Provider Demographics
NPI:1265836977
Name:EMBRACE WELLNESS PLLC
Entity Type:Organization
Organization Name:EMBRACE WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP-C
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:MAIER
Authorized Official - Suffix:
Authorized Official - Credentials:MSN
Authorized Official - Phone:701-471-0834
Mailing Address - Street 1:1140 W CAPITOL AVE
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-1306
Mailing Address - Country:US
Mailing Address - Phone:701-751-7244
Mailing Address - Fax:701-751-7247
Practice Address - Street 1:1140 W CAPITOL AVE
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-1306
Practice Address - Country:US
Practice Address - Phone:701-751-7244
Practice Address - Fax:701-751-7247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-09
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care