Healthcare Provider Details

I. General information

NPI: 1952262305
Provider Name (Legal Business Name): EVERWELL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 BURLINGTON DRIVE
BISMARCK ND
58504
US

IV. Provider business mailing address

209 W WACHTER AVE
BISMARCK ND
58504-7081
US

V. Phone/Fax

Practice location:
  • Phone: 701-426-5603
  • Fax:
Mailing address:
  • Phone: 701-426-5603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. KAYLA HOLZER
Title or Position: OWNER/NURSE PRACTITIONER
Credential: FNP
Phone: 701-426-5603