| Evolve Mental Health And Wellness | |
|
1715 Indian Wood Cir Ste 200 Maumee OH 43537-4055 | |
| (419) 314-9535 | |
| (419) 469-5495 |
| Full Name | Evolve Mental Health And Wellness |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1715 Indian Wood Cir Ste 200, Maumee, Ohio |
| Authorized Official Name and Position | Tameshia Wiggins (NP-C) |
| Authorized Official Contact | 4193149535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Mental Health And Wellness 1715 Indian Wood Cir Ste 200 Maumee OH 43537-4055 Ph: (419) 314-9535 | Evolve Mental Health And Wellness 1715 Indian Wood Cir Ste 200 Maumee OH 43537-4055 Ph: (419) 314-9535 |
| NPI Number | 1265142780 |
|---|---|
| Provider Enumeration Date | 11/28/2022 |
| Last Update Date | 02/21/2024 |
| Certification Date | 02/21/2024 |
| Medicare PECOS PAC ID | 2961869805 |
|---|---|
| Medicare Enrollment ID | O20230607002567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265142780 | NPI | - | NPPES |
| Provider Name | Tameshia Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891263463 PECOS PAC ID: 3577804376 Enrollment ID: I20221114000182 |
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