MEDICARE: ATOMIC 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	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1932906013
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATOMIC WELLNESS

Provider Business Mailing Address
First Line	:	9221 SANDIFUR PKWY STE A
Second Line	:
City	:	PASCO
State	:	WA
Zip	:	99301-9241
Country	:	US
Telephone Number	:	509-233-7546
Fax Number	:	509-795-3508

Provider Business Practice Location Address
First Line	:	9221 SANDIFUR PKWY STE A
Second Line	:
City	:	PASCO
State	:	WA
Zip	:	99301-9241
Country	:	US
Telephone Number	:	509-233-7546
Fax Number	:	509-795-3508

Authorized Official
Title or Position	:	OWNER
Name	:	VICKI HAINES
Credential	:	DCNP
Telephone Number	:	509-233-7546

Provider Enumeration Date	:	02/26/2025
Last Update Date	:	03/18/2026

Similar Medicare Providers

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Practice Location Address:

9221 SANDIFUR PKWY STE A
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99301-9241

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Practice Location Address:

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PASCO, WA
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1093428195 — REGGIE OROZCO DDS PLLC
Practice Location Address:

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Practice Fax:

1043074743 — JESSICA MEREDITH ARNP
Practice Location Address:

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1568319887 — LOVING ARMS HAVEN LLC
Practice Location Address:

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Directions to “ATOMIC WELLNESS ” Practice Location

Language	Start Address	Practice Location

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