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General NPI Number Information
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NPI Number | 1619862935
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Entity Type | Organization
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Legal Business Name | HARMONY ROOTS WELLNESS, INC.
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 4562 DENROSE CT STE 4
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City | FORT COLLINS
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State | CO
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Zip | 80524-8364
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Country | US
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Telephone | 970-691-9905
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Fax |
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Provider Business Mailing Address
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Address Line | 4562 DENROSE CT STE 4
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City | FORT COLLINS
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State | CO
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Zip | 80524-8364
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Country | US
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Telephone | 970-691-9905
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Fax | 800-886-9502
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Authorized Official
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Title or Position | FOUNDER, NURSE PRACTITIONER
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Name | TREANNA IRIS ANASTASIA
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Credential | WHNP
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Telephone | 970-231-2373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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