Healthcare Provider Details

I. General information

NPI: 1669382214
Provider Name (Legal Business Name): NORA WELLNESS & MANAGEMENT, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/22/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 LANTERN LANE
RANDOLPH MA
02368
US

IV. Provider business mailing address

100 N HOWARD ST STE R
SPOKANE WA
99201-0508
US

V. Phone/Fax

Practice location:
  • Phone: 425-835-3352
  • Fax:
Mailing address:
  • Phone: 425-835-3352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSIANE ORNELLA DEGUENON
Title or Position: MANAGING MEMBER
Credential: DNP, FNP-BC,PMHNP-BC
Phone: 425-835-3352