=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013885631
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EMPOWERED HEALTH AND WELLNESS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/27/2025
-----------------------------------------------------
Last Update Date | 02/27/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 19411 PLANTATION RD UNIT 3
-----------------------------------------------------
City | REHOBOTH BEACH
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19971-4497
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-291-2374
-----------------------------------------------------
Fax | 302-291-2403
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 19411 PLANTATION RD UNIT 3
-----------------------------------------------------
City | REHOBOTH BEACH
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19971-4497
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-291-2374
-----------------------------------------------------
Fax | 302-291-2403
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CO-OWNER
-----------------------------------------------------
Name | CHRISTOPHER MICHAEL NGUYEN
-----------------------------------------------------
Credential | RDN, LDN
-----------------------------------------------------
Telephone | 731-334-1999
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 133V00000X
-----------------------------------------------------
Taxonomy Name | Registered Dietitian
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------