| Global Health Behavioral And Wellness Llc | |
|
1001 Boardwalk Springs Pl Ste 111 O Fallon MO 63368-4777 | |
| (636) 675-1979 | |
| Not Available |
| Full Name | Global Health Behavioral And Wellness Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1001 Boardwalk Springs Pl Ste 111, O Fallon, Missouri |
| Authorized Official Name and Position | Chidochomoyo Zvirawa (OWNER) |
| Authorized Official Contact | 6366759799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Global Health Behavioral And Wellness Llc 1001 Boardwalk Springs Pl Ste 111 O Fallon MO 63368-4777 Ph: (636) 675-1979 | Global Health Behavioral And Wellness Llc 1001 Boardwalk Springs Pl Ste 111 O Fallon MO 63368-4777 Ph: (636) 675-1979 |
| NPI Number | 1689368474 |
|---|---|
| Provider Enumeration Date | 06/06/2023 |
| Last Update Date | 12/22/2023 |
| Certification Date | 12/22/2023 |
| Medicare PECOS PAC ID | 6709235112 |
|---|---|
| Medicare Enrollment ID | O20231211003017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689368474 | NPI | - | NPPES |
| Provider Name | Chidochomoyo E Zvirawa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790344968 PECOS PAC ID: 3274861075 Enrollment ID: I20190816002617 |
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