Organization · Type 2 NPI

Be Well Adult, Np, PLLC

Nurse Practitioner · Bohemia, NY

NPI number 1104677095 Active

Practice location

1461 Lakeland Ave Unit 9
Bohemia, NY 11716-2174

Fax (631) 585-7575

Specialties and licenses

Taxonomy	Code	License
Clinic/Center	261Q00000X	None listed
Medical Specialty Clinic/Center	261QM2500X	None listed
Nurse Practitioner Primary	363L00000X	None listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

4 other providers at this address

Other nurse practitioner providers in Bohemia

Envision Integrative ServicesNurse Practitioner Bohemia, NY NPI 1457113573

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NPI record

NPI: 1104677095
Entity type: Organization (Type 2)
Issued: Mar 28, 2024
Last updated: Jun 6, 2024
Status: Active
Subpart: Yes of Be Well Adult, Np, PLLC

Other names

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Envision Intergrative Services · other name
Envision Intergrative Services · other name

Authorized official

Nicole Flemming, CPC, CRC, CPC, CBCS, CMA
Billing and Credentialing Manager
(843) 640-9342

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104677095

Be Well Adult, Np, PLLC's National Provider Identifier is 1104677095, issued on Mar 28, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bohemia, NY. The record was last updated on Jun 6, 2024.