| NPI | 1588222525 |
|---|---|
| Doing Business As | ADVANCED HEALTH & WELLNESS LLC. |
| Entity Type | Organization |
| Authorized Contact | PATSY J WISEMAN Provider 918-261-4439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-04 |