Organization · Type 2 NPI

Roots of Wellness, Pllc.

Psychiatric/Mental Health Nurse Practitioner · Fargo, ND

NPI number 1972373371 Active

Practice location

19 8th St. S. Pmb 409
Fargo, ND 58103-1804

Fax (701) 670-2624

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	None listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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NPI record

NPI: 1972373371
Entity type: Organization (Type 2)
Issued: Jan 5, 2024
Last updated: Mar 11, 2024
Status: Active

Other names

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Roots of Wellness · doing business as
Roots of Wellness · doing business as

Authorized official

Genevieve Simone Hudgins, APRN
Owner/operator
(701) 699-4024

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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 1972373371

Roots of Wellness, Pllc.'s National Provider Identifier is 1972373371, issued on Jan 5, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fargo, ND. The record was last updated on Mar 11, 2024.