Organization · Type 2 NPI

Breakthrough Wellness

Nurse Practitioner · Davenport, IA

NPI number 1336957778 Active

Practice location

1225 E River Dr Ste 340
Davenport, IA 52803-5761

Fax (563) 526-4116

Mailing address

1225 E River Dr Ste 330
Davenport, IA 52803-5761

Other practice locations

  • 5030 38th Ave, Moline, IL 61265-6717 · (563) 424-0136

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 1336957778

Breakthrough Wellness's National Provider Identifier is 1336957778, issued on Dec 18, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Davenport, IA. The record was last updated on May 29, 2025.