MEDICARE: APEX 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
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1588262190
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APEX WELLNESS CENTER, LLC

Provider Business Mailing Address
First Line	:	32 MIDDLE HWY
Second Line	:
City	:	BARRINGTON
State	:	RI
Zip	:	02806-1205
Country	:	US
Telephone Number	:	401-680-1238
Fax Number	:

Provider Business Practice Location Address
First Line	:	32 MIDDLE HWY
Second Line	:
City	:	BARRINGTON
State	:	RI
Zip	:	02806-1205
Country	:	US
Telephone Number	:	704-915-1131
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	DR. GUERLYNE HENSON
Credential	:	DNP,FNP-C
Telephone Number	:	401-680-1238

Provider Enumeration Date	:	10/15/2020
Last Update Date	:	02/27/2021

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