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General NPI Number Information
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NPI Number | 1801542329
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Entity Type | Organization
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Legal Business Name | WHOLESOME HEALTH LLC
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Dates
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Enumeration Date | 02/23/2022
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 7 N 4TH ST
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City | NEWARK
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State | OH
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Zip | 43055-5009
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Country | US
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Telephone | 740-641-6574
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Fax |
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Provider Business Mailing Address
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Address Line | 4122 NORTH ST
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City | GRANVILLE
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State | OH
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Zip | 43023-9772
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Country | US
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Telephone | 440-313-8643
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MEGAN REED
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Credential | NP
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Telephone | 440-313-8643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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