Organization · Type 2 NPI
Upstream Health & Wellness, LLC
Family Nurse Practitioner · Portage, IN
NPI number
1174082523
Active
Practice location
3207 Willowcreek Rd Ste A
Portage, IN 46368-5013
Fax (219) 764-2479
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1174082523
Upstream Health & Wellness, LLC's National Provider Identifier is 1174082523, issued on Mar 15, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portage, IN. The record was last updated on Mar 10, 2021.