Healthcare Provider Details

I. General information

NPI: 1508739343
Provider Name (Legal Business Name): DEEPER WELL CONCIERGE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2025
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 VILLAGE SQUARE XING STE 150
PALM BEACH GARDENS FL
33410-4549
US

IV. Provider business mailing address

5503 55TH WAY
WEST PALM BEACH FL
33409-7103
US

V. Phone/Fax

Practice location:
  • Phone: 561-386-6403
  • Fax: 561-232-3084
Mailing address:
  • Phone: 561-386-6403
  • Fax: 561-232-3084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: HANNAH FIELDS
Title or Position: APRN
Credential: APRN
Phone: 561-386-6403