Healthcare Provider Details

I. General information

NPI: 1679440275
Provider Name (Legal Business Name): INTEGRATE FAMILY HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E FULTON ST
GARDEN CITY KS
67846-5455
US

IV. Provider business mailing address

101 E FULTON ST
GARDEN CITY KS
67846-5455
US

V. Phone/Fax

Practice location:
  • Phone: 408-483-3907
  • Fax:
Mailing address:
  • Phone: 620-315-9252
  • Fax: 620-750-8184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANGELA REICH
Title or Position: CO-OWNER
Credential: DPT
Phone: 657-294-6350