| Wellness Rediscovered P.L.L.C. | |
|
705 E Main Ave Bismarck ND 58501-4525 | |
| (701) 269-9455 | |
| Not Available |
| Full Name | Wellness Rediscovered P.L.L.C. |
|---|---|
| Speciality | Clinic/Center |
| Location | 705 E Main Ave, Bismarck, North Dakota |
| Authorized Official Name and Position | Laura Hoovestol (DNP, APRN, FNP-C/OWNER) |
| Authorized Official Contact | 7018050870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Rediscovered P.L.L.C. 705 E Main Ave Bismarck ND 58501-4525 | Wellness Rediscovered P.L.L.C. 705 E Main Ave Bismarck ND 58501-4525 Ph: (701) 269-9455 |
| NPI Number | 1053060004 |
|---|---|
| Provider Enumeration Date | 03/18/2022 |
| Last Update Date | 08/24/2022 |
| Certification Date | 06/08/2022 |
| Medicare PECOS PAC ID | 7416343322 |
|---|---|
| Medicare Enrollment ID | O20220401000553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053060004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Cynthia L Wald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912498593 PECOS PAC ID: 7719237932 Enrollment ID: I20180910003123 |
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