MEDICARE: ND WELLNESS SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1245048453
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ND WELLNESS SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	1364 W STILLWATER DR
Second Line	:	UNIT 2066
City	:	HEBER CITY
State	:	UT
Zip	:	84032
Country	:	US
Telephone Number	:	970-618-4788
Fax Number	:

Provider Business Practice Location Address
First Line	:	5532 LILLEHAMMER LN
Second Line	:
City	:	PARK CITY
State	:	UT
Zip	:	84098
Country	:	US
Telephone Number	:	970-618-4788
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ELISABETH NICHOLE DREYER
Credential	:	L.AC
Telephone Number	:	970-618-4788

Provider Enumeration Date	:	12/19/2024
Last Update Date	:	12/19/2024

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