Provider Demographics
NPI:1013780204
Name:INVIGORATE WELLNESS LLC
Entity Type:Organization
Organization Name:INVIGORATE WELLNESS LLC
Other - Org Name:INVIGORATE WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:NALYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLEGARDE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, CRNP, FNP-BC
Authorized Official - Phone:410-297-7234
Mailing Address - Street 1:497 RITCHIE HWY UNIT 1A
Mailing Address - Street 2:
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-2935
Mailing Address - Country:US
Mailing Address - Phone:410-297-7234
Mailing Address - Fax:
Practice Address - Street 1:497 RITCHIE HWY UNIT 1A
Practice Address - Street 2:
Practice Address - City:SEVERNA PARK
Practice Address - State:MD
Practice Address - Zip Code:21146-2935
Practice Address - Country:US
Practice Address - Phone:410-297-7234
Practice Address - Fax:410-989-3062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-31
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty