MEDICARE: BETTER HEALTH INTEGRATIVE WELLNESS, 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	282N00000X	General Acute Care Hospital
2	363LP2300X	Primary Care Nurse Practitioner

General Provider Information

NPI Number	:	1548004013
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETTER HEALTH INTEGRATIVE WELLNESS, LLC

Provider Business Mailing Address
First Line	:	31105 PRAIRIE CREEK DR
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33982-3349
Country	:	US
Telephone Number	:	239-677-7068
Fax Number	:

Provider Business Practice Location Address
First Line	:	31105 PRAIRIE CREEK DR
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33982-3349
Country	:	US
Telephone Number	:	239-677-7068
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. BRIDGETT DONALSON
Credential	:	APRN
Telephone Number	:	239-677-7068

Provider Enumeration Date	:	06/20/2024
Last Update Date	:	06/20/2024

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