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NPI Code Detail

MEDICARE: FLABWELL HEALTH GROUP LLC

MEDICARE: FLABWELL HEALTH GROUP 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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1255020855
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLABWELL HEALTH GROUP LLC
Provider Business Mailing Address
First Line : 3611 BOULEVARD
Second Line :
City : COLONIAL HEIGHTS
State : VA
Zip : 23834-1344
Country : US
Telephone Number : 804-372-5476
Fax Number : 804-509-0531
Provider Business Practice Location Address
First Line : 3611 BOULEVARD
Second Line :
City : COLONIAL HEIGHTS
State : VA
Zip : 23834-1344
Country : US
Telephone Number : 804-402-4773
Fax Number : 804-509-0531
Authorized Official
Title or Position : PROVIDER
Name : VICTOR TOOCHUKWU NWAGWU
Credential : PMHNP-BC
Telephone Number : 804-402-4773
Provider Enumeration Date : 05/01/2023
Last Update Date : 09/12/2025

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Directions to “FLABWELL HEALTH GROUP LLC ” Practice Location

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