| NPI | 1568212744 | 
|---|---|
| Other Name | CRNP INTEGRATED WELLNESS LLC | 
| Entity Type | Organization | 
| Authorized Contact | CANDICE REYNOLDS Manager 954-795-6766  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family | 
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health | 
| Enumeration Date | 2024-03-22 | 
| Last Update Date | 2024-10-23 |