Provider Demographics
NPI:1558901447
Name:ANEW HEALTH & WELLNESS, LLC
Entity Type:Organization
Organization Name:ANEW HEALTH & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP FNP
Authorized Official - Phone:608-732-2280
Mailing Address - Street 1:436 GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:WI
Mailing Address - Zip Code:53510-9686
Mailing Address - Country:US
Mailing Address - Phone:608-732-2280
Mailing Address - Fax:
Practice Address - Street 1:4855 ASBURY RD
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52002-0483
Practice Address - Country:US
Practice Address - Phone:563-284-2422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-08
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty