Provider Demographics
NPI:1689137507
Name:WELLNESS OPTIONS, LLC
Entity Type:Organization
Organization Name:WELLNESS OPTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFNP,BC
Authorized Official - Prefix:
Authorized Official - First Name:WENDEE
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:BURNETT
Authorized Official - Suffix:
Authorized Official - Credentials:CFNP,BC
Authorized Official - Phone:505-553-4014
Mailing Address - Street 1:4101 BARBARA LOOP SE STE B
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-1011
Mailing Address - Country:US
Mailing Address - Phone:505-553-4014
Mailing Address - Fax:505-898-1559
Practice Address - Street 1:4101 BARBARA LOOP SE STE B
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-1011
Practice Address - Country:US
Practice Address - Phone:505-553-4014
Practice Address - Fax:505-898-1559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-08
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty