MEDICARE: NOVA WELLNESS

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1669304697
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOVA WELLNESS

Provider Business Mailing Address
First Line	:	2011 LIGHTNING LN
Second Line	:
City	:	WENATCHEE
State	:	WA
Zip	:	98801-6056
Country	:	US
Telephone Number	:	509-433-4090
Fax Number	:

Provider Business Practice Location Address
First Line	:	2011 LIGHTNING LN
Second Line	:
City	:	WENATCHEE
State	:	WA
Zip	:	98801-6056
Country	:	US
Telephone Number	:	509-433-4090
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MELISSA A FOWLER
Credential	:	DNP-FNP
Telephone Number	:	509-433-4090

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

Similar Medicare Providers

1003748112 — STEVEN POUPARD PAC
Practice Location Address:

820 N CHELAN AVE
WENATCHEE, WA
98801-2028

Practice Phone: 509-663-8711
Practice Fax:

1043177835 — PROACTIVE HEALTH PLLC
Practice Location Address:

1 E 5TH ST STE 150
WENATCHEE, WA
98801-6649

Practice Phone: 509-436-1137
Practice Fax: 509-436-1148

1386911626 — TYLER A SHERMAN D.O.
Practice Location Address:

1 5TH ST STE 150
WENATCHEE, WA
98801-6649

Practice Phone: 509-436-1137
Practice Fax: 509-436-1148

1518890177 — GOLDEN YEARS ADULT FAMILY HOME LLC
Practice Location Address:

2710 NUMBER 1 CANYON RD
WENATCHEE, WA
98801-2452

Practice Phone: 509-860-0863
Practice Fax:

1245904259 — CARLOS BRANDON FLORES JUAREZ LMHCA
Practice Location Address:

630 N CHELAN AVE STE A7
WENATCHEE, WA
98801-6622

Practice Phone: 509-663-8711
Practice Fax:

1609598341 — MING WAI MYRA KAN LMHCA
Practice Location Address:

630 N CHELAN AVE STE A7
WENATCHEE, WA
98801-6622

Practice Phone: 509-663-8711
Practice Fax:

Directions to “NOVA WELLNESS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.