MEDICARE: MICAELA WENTH

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
1	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1467302141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICAELA WENTH

Provider Business Mailing Address
First Line	:	103 COUNTRY LN
Second Line	:
City	:	EULESS
State	:	TX
Zip	:	76039-8019
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 COUNTRY LN
Second Line	:
City	:	EULESS
State	:	TX
Zip	:	76039-8019
Country	:	US
Telephone Number	:	701-212-5910
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “ MICAELA WENTH ” Practice Location

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