| Inspired Life Wellness Clinic, Pllc | |
|
3100 Moonstone Ln Bismarck ND 58503-6308 | |
| (701) 989-4354 | |
| (701) 213-4335 |
| Full Name | Inspired Life Wellness Clinic, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3100 Moonstone Ln, Bismarck, North Dakota |
| Authorized Official Name and Position | Kristen Getzlaff (CO-OWNER, PRESIDENT) |
| Authorized Official Contact | 7019894345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspired Life Wellness Clinic, Pllc 804 Tower Pl Mandan ND 58554-3244 Ph: (701) 989-4354 | Inspired Life Wellness Clinic, Pllc 3100 Moonstone Ln Bismarck ND 58503-6308 Ph: (701) 989-4354 |
| NPI Number | 1033558168 |
|---|---|
| Provider Enumeration Date | 06/21/2013 |
| Last Update Date | 01/02/2024 |
| Medicare PECOS PAC ID | 3678717428 |
|---|---|
| Medicare Enrollment ID | O20130917000214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033558168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (North Dakota) | Primary |
| Provider Name | Christine Aman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306155726 PECOS PAC ID: 7113167669 Enrollment ID: I20140214001488 |
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