Provider Demographics
NPI:1881265940
Name:WELLNESS REGISTERED NURSING, P.C.
Entity type:Organization
Organization Name:WELLNESS REGISTERED NURSING, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR OF PATIENT SERVI
Authorized Official - Prefix:MS
Authorized Official - First Name:THEODORA
Authorized Official - Middle Name:R
Authorized Official - Last Name:KWARTENG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:718-618-0519
Mailing Address - Street 1:1850 GRAND CONCOURSE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457
Mailing Address - Country:US
Mailing Address - Phone:718-618-0519
Mailing Address - Fax:718-583-9462
Practice Address - Street 1:1850 GRAND CONCOURSE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457
Practice Address - Country:US
Practice Address - Phone:718-618-0519
Practice Address - Fax:718-583-9462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health