Provider Demographics
NPI:1831762913
Name:WHOLE CARE FAMILY PRACTICE, PLLC
Entity type:Organization
Organization Name:WHOLE CARE FAMILY PRACTICE, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, ARNP, FNP-BC
Authorized Official - Phone:319-743-5316
Mailing Address - Street 1:3741 CENTER POINT RD NE STE B
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-2926
Mailing Address - Country:US
Mailing Address - Phone:319-200-8240
Mailing Address - Fax:
Practice Address - Street 1:3741 CENTER POINT RD NE STE B
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-2926
Practice Address - Country:US
Practice Address - Phone:319-743-5316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-19
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care