Provider Demographics
NPI:1508635822
Name:WELLPART HEALTH PLLC
Entity Type:Organization
Organization Name:WELLPART HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:IRORERE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:508-345-6313
Mailing Address - Street 1:44 BEARFOOT RD STE 200
Mailing Address - Street 2:
Mailing Address - City:NORTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01532-1559
Mailing Address - Country:US
Mailing Address - Phone:508-345-6313
Mailing Address - Fax:508-622-7977
Practice Address - Street 1:44 BEARFOOT RD STE 200
Practice Address - Street 2:
Practice Address - City:NORTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01532-1559
Practice Address - Country:US
Practice Address - Phone:508-345-6313
Practice Address - Fax:508-622-7977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty