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NPI Code Detail

MEDICARE: HOPE RISING WELLNESS CENTER LLC

MEDICARE: HOPE RISING WELLNESS CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1215882188
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOPE RISING WELLNESS CENTER LLC
Provider Business Mailing Address
First Line : 12 W WENGER RD STE J
Second Line :
City : ENGLEWOOD
State : OH
Zip : 45322-2755
Country : US
Telephone Number : 937-287-9106
Fax Number :
Provider Business Practice Location Address
First Line : 12 W WENGER RD STE J
Second Line :
City : ENGLEWOOD
State : OH
Zip : 45322-2755
Country : US
Telephone Number : 937-287-9106
Fax Number :
Authorized Official
Title or Position : PMHNP
Name : JOSIANE NYIRASHOMBO
Credential : APRN
Telephone Number : 937-287-9106
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “HOPE RISING WELLNESS CENTER LLC ” Practice Location

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