Provider Demographics
NPI:1801555255
Name:INTEGRA HEALTH & WELLNESS, A PROFESSIONAL NURSING CORPORATION
Entity type:Organization
Organization Name:INTEGRA HEALTH & WELLNESS, A PROFESSIONAL NURSING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:DELYNN
Authorized Official - Last Name:HELM
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:559-259-2556
Mailing Address - Street 1:7575 N CEDAR AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2693
Mailing Address - Country:US
Mailing Address - Phone:559-840-0779
Mailing Address - Fax:
Practice Address - Street 1:7575 N CEDAR AVE STE 104
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2693
Practice Address - Country:US
Practice Address - Phone:559-840-0779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty