| Holistic Wellness Group Llc | |
|
6308 Five Mile Centre Park Ste 217 Fredericksburg VA 22407-5508 | |
| (571) 409-8390 | |
| Not Available |
| Full Name | Holistic Wellness Group Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 6308 Five Mile Centre Park Ste 217, Fredericksburg, Virginia |
| Authorized Official Name and Position | Emigdus Nkem (DIRECTOR) |
| Authorized Official Contact | 5714947066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Wellness Group Llc 12806 Glendale Ct Fredericksburg VA 22407-2060 Ph: (571) 409-8390 | Holistic Wellness Group Llc 6308 Five Mile Centre Park Ste 217 Fredericksburg VA 22407-5508 Ph: (571) 409-8390 |
| NPI Number | 1962199745 |
|---|---|
| Provider Enumeration Date | 04/20/2023 |
| Last Update Date | 08/22/2023 |
| Certification Date | 08/22/2023 |
| Medicare PECOS PAC ID | 0547627366 |
|---|---|
| Medicare Enrollment ID | O20230608002763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962199745 | NPI | - | NPPES |
| Provider Name | Elisabeth Nkem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295448983 PECOS PAC ID: 7012389620 Enrollment ID: I20230208001081 |
| Provider Name | Karin Elise Weber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730560400 PECOS PAC ID: 3173960788 Enrollment ID: I20240319000987 |
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