Provider Demographics
NPI:1770393522
Name:MAIN STREET FAMILY WELLNESS
Entity type:Organization
Organization Name:MAIN STREET FAMILY WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, ARNP
Authorized Official - Prefix:
Authorized Official - First Name:BRITTNI
Authorized Official - Middle Name:
Authorized Official - Last Name:REIFSCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:515-393-1898
Mailing Address - Street 1:300 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-6189
Mailing Address - Country:US
Mailing Address - Phone:515-393-1898
Mailing Address - Fax:515-329-9174
Practice Address - Street 1:300 MAIN ST
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-6189
Practice Address - Country:US
Practice Address - Phone:515-393-1898
Practice Address - Fax:515-329-9174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-13
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty