Provider Demographics
NPI:1245048453
Name:ND WELLNESS SOLUTIONS LLC
Entity type:Organization
Organization Name:ND WELLNESS SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELISABETH
Authorized Official - Middle Name:NICHOLE
Authorized Official - Last Name:DREYER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:970-618-4788
Mailing Address - Street 1:1364 W STILLWATER DR
Mailing Address - Street 2:UNIT 2066
Mailing Address - City:HEBER CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84032
Mailing Address - Country:US
Mailing Address - Phone:970-618-4788
Mailing Address - Fax:
Practice Address - Street 1:5532 LILLEHAMMER LN
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:UT
Practice Address - Zip Code:84098
Practice Address - Country:US
Practice Address - Phone:970-618-4788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ND WELLNESS SOLUTIONS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty