NPI | 1477333896 |
---|---|
Doing Business As | ADVANCED WELLNESS COMPANY |
Entity Type | Organization |
Authorized Contact | SHANNON D FIELDING Owner 303-284-8674 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2023-10-03 |
Last Update Date | 2025-05-17 |