NPI Code Details Logo

NPI 1952262305

NPI 1952262305 : EVERWELL : BISMARCK, ND

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1952262305
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    EVERWELL 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/24/2025
-----------------------------------------------------
    Last Update Date     |    12/06/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1800 BURLINGTON DRIVE 
-----------------------------------------------------
    City                 |    BISMARCK
-----------------------------------------------------
    State                |    ND
-----------------------------------------------------
    Zip                  |    58504
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    701-426-5603
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    209 W WACHTER AVE 
-----------------------------------------------------
    City                 |    BISMARCK
-----------------------------------------------------
    State                |    ND
-----------------------------------------------------
    Zip                  |    58504-7081
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    701-426-5603
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER/NURSE PRACTITIONER
-----------------------------------------------------
    Name                 |    DR. KAYLA  HOLZER 
-----------------------------------------------------
    Credential           |    FNP
-----------------------------------------------------
    Telephone            |    701-426-5603
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.