| Elevate Wellness | |
|
2244 Barton Ave South Lake Tahoe CA 96150-3408 | |
| (530) 541-9355 | |
| Not Available |
| Full Name | Elevate Wellness |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2244 Barton Ave, South Lake Tahoe, California |
| Authorized Official Name and Position | Amy Pittlick Smith (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 7752199076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Wellness 2244 Barton Ave South Lake Tahoe CA 96150-3408 Ph: () - | Elevate Wellness 2244 Barton Ave South Lake Tahoe CA 96150-3408 Ph: (530) 541-9355 |
| NPI Number | 1851794853 |
|---|---|
| Provider Enumeration Date | 10/03/2014 |
| Last Update Date | 10/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851794853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | NP13943 (California) | Primary |
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