Organization Name: | INTEGRITY HEALTH AND WELLNESS |
NPI Number: | 1114336401 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SARAH PROSS (BILLING MANAGER) |
Mailing Address: | 11606 Chapman Hwy Suite 3 Seymour |
State: | TN US |
Postal Code: | 378655270 |
Phone Number: | 8657730285 |
Fax Number: | 8657730385 |
NPI Enumeration Date: | 08/12/2014 |
NPI Last Update Date: | 08/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |