Healthcare Provider Details
I. General information
NPI: 1316873268
Provider Name (Legal Business Name): NEOWELLNEZ
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11919 S RENE ST
OLATHE KS
66062-5695
US
IV. Provider business mailing address
11919 S RENE ST
OLATHE KS
66062-5695
US
V. Phone/Fax
- Phone: 913-980-8728
- Fax:
- Phone: 913-980-8728
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ABIBATOU
SALAMI
Title or Position: PSYCHIATRIC NURSE PRACTITIONER
Credential: NP
Phone: 913-980-8728