| Optimal Health And Wellness | |
|
515 South Blvd Ste C Baraboo WI 53913-2888 | |
| (608) 844-0496 | |
| Not Available |
| Full Name | Optimal Health And Wellness |
|---|---|
| Speciality | General Practice |
| Location | 515 South Blvd Ste C, Baraboo, Wisconsin |
| Authorized Official Name and Position | Brandi Zimbelman (OWNER/APNP) |
| Authorized Official Contact | 6088440496 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Health And Wellness 515 South Blvd Ste C Baraboo WI 53913-2888 Ph: () - | Optimal Health And Wellness 515 South Blvd Ste C Baraboo WI 53913-2888 Ph: (608) 844-0496 |
| NPI Number | 1093309759 |
|---|---|
| Provider Enumeration Date | 02/23/2021 |
| Last Update Date | 04/05/2021 |
| Medicare PECOS PAC ID | 7517366073 |
|---|---|
| Medicare Enrollment ID | O20210603001165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093309759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Brandi Zimbelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730482258 PECOS PAC ID: 4082896931 Enrollment ID: I20180327001803 |
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