| NPI | 1558062216 |
|---|---|
| Doing Business As | B-WELL FUNCTIONAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SHEILA ANN BARDWELL Owner 575-640-0748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2023-03-10 |