Organization · Type 2 NPI

Wellness Adult Health NP PC

Nurse Practitioner · Valley Stream, NY

NPI number 1265398374 Active

Practice location

9 Ivanhoe Pl
Valley Stream, NY 11580-2901

Call (347) 465-3919 Map

Other practice locations

  • 4470 Broadway, New York, NY 10040-2669 · (347) 465-3919

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone 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…

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About NPI 1265398374

Wellness Adult Health NP PC's National Provider Identifier is 1265398374, issued on Jan 2, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Valley Stream, NY. The record was last updated on Jan 2, 2026.