NPI Code Details Logo

NPI 1649088444

NPI 1649088444 : B WELL : ELLENSBURG, WA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1649088444
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    B WELL 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/26/2024
-----------------------------------------------------
    Last Update Date     |    09/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1005 S CANYON RD 
-----------------------------------------------------
    City                 |    ELLENSBURG
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98926-4108
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    509-426-3750
-----------------------------------------------------
    Fax                  |    509-426-3760
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1005 S CANYON RD 
-----------------------------------------------------
    City                 |    ELLENSBURG
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98926-4108
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    509-426-3750
-----------------------------------------------------
    Fax                  |    509-426-3760
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER, ARNP
-----------------------------------------------------
    Name                 |    MRS. MACY ANN SCHORNO 
-----------------------------------------------------
    Credential           |    ARNP
-----------------------------------------------------
    Telephone            |    509-306-1898
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.