Provider Demographics
NPI:1619862935
Name:HARMONY ROOTS WELLNESS, INC.
Entity type:Organization
Organization Name:HARMONY ROOTS WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:TREANNA
Authorized Official - Middle Name:IRIS
Authorized Official - Last Name:ANASTASIA
Authorized Official - Suffix:
Authorized Official - Credentials:WHNP
Authorized Official - Phone:970-231-2373
Mailing Address - Street 1:2019 ROCKPORT CT
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-6310
Mailing Address - Country:US
Mailing Address - Phone:970-231-2373
Mailing Address - Fax:
Practice Address - Street 1:4562 DENROSE CT STE 4
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-8364
Practice Address - Country:US
Practice Address - Phone:970-691-9905
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-09
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No251V00000XAgenciesVoluntary or Charitable
No261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty