| Rise Wellness LLC | |
|
5515 Nighthawk Way Indianapolis IN 46254-4771 | |
| (317) 965-0299 | |
| Not Available |
| Full Name | Rise Wellness LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 5515 Nighthawk Way, Indianapolis, Indiana |
| Authorized Official Name and Position | Nyla Fleming (OWNER, PROVIDER) |
| Authorized Official Contact | 3179650299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Wellness LLC 3250a W 86th St # 1242 Indianapolis IN 46268-3605 Ph: (317) 965-0299 | Rise Wellness LLC 5515 Nighthawk Way Indianapolis IN 46254-4771 Ph: (317) 965-0299 |
| NPI Number | 1689481434 |
|---|---|
| Provider Enumeration Date | 12/16/2024 |
| Last Update Date | 12/16/2024 |
| Certification Date | 12/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689481434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | () | Secondary |
| 363LF0000X | Nurse Practitioner - Family | () | Secondary |
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