Provider Demographics
NPI:1750184107
Name:WELLARIS HEALTH PLLC
Entity type:Organization
Organization Name:WELLARIS HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHIATRIC NURSE PRACTITIONE
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:BRUNGARDT
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN
Authorized Official - Phone:308-224-4101
Mailing Address - Street 1:352 W VERDE LN
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-1345
Mailing Address - Country:US
Mailing Address - Phone:308-224-4101
Mailing Address - Fax:480-908-1567
Practice Address - Street 1:352 W VERDE LN
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85284-1345
Practice Address - Country:US
Practice Address - Phone:308-224-4101
Practice Address - Fax:480-908-1567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty