| Whole Self Wellness, Llc | |
|
12 Case St Ste 103 Norwich CT 06360-2222 | |
| (860) 222-0949 | |
| (855) 538-2802 |
| Full Name | Whole Self Wellness, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12 Case St Ste 103, Norwich, Connecticut |
| Authorized Official Name and Position | Andrea Stephanie Dameron (APRN/OWNER) |
| Authorized Official Contact | 8602220949 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Self Wellness, Llc 12 Case St Ste 103 Norwich CT 06360-2222 Ph: (860) 222-0949 | Whole Self Wellness, Llc 12 Case St Ste 103 Norwich CT 06360-2222 Ph: (860) 222-0949 |
| NPI Number | 1588114870 |
|---|---|
| Provider Enumeration Date | 10/11/2016 |
| Last Update Date | 10/06/2025 |
| Medicare PECOS PAC ID | 1850673559 |
|---|---|
| Medicare Enrollment ID | O20170112001502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588114870 | NPI | - | NPPES |
| 1356624027 | Other | CT | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 004768 (Connecticut) | Primary |
| Provider Name | Beth A Tannatt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811960750 PECOS PAC ID: 3072539808 Enrollment ID: I20100728000004 |
| Provider Name | Andrea S Dameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356624027 PECOS PAC ID: 4981879640 Enrollment ID: I20111207000413 |
| Provider Name | Christina Barr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861173825 PECOS PAC ID: 6002270097 Enrollment ID: I20230908002295 |
| Provider Name | Angela P Noe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477882645 PECOS PAC ID: 4688196223 Enrollment ID: I20250324001865 |
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