| Denali Health & Wellness | |
|
185 Sw Bedford Rd Port Saint Lucie FL 34953-6937 | |
| (772) 607-0127 | |
| Not Available |
| Full Name | Denali Health & Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 185 Sw Bedford Rd, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Macresia A Braziel (OWNER/APRN) |
| Authorized Official Contact | 7726070127 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Denali Health & Wellness 10380 Sw Village Center Dr Ste 223 Port Saint Lucie FL 34987-1931 Ph: (772) 607-0127 | Denali Health & Wellness 185 Sw Bedford Rd Port Saint Lucie FL 34953-6937 Ph: (772) 607-0127 |
| NPI Number | 1972268886 |
|---|---|
| Provider Enumeration Date | 11/04/2021 |
| Last Update Date | 11/04/2021 |
| Medicare PECOS PAC ID | 5890187058 |
|---|---|
| Medicare Enrollment ID | O20220120000079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972268886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Macresia A Braziel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124493432 PECOS PAC ID: 8628350865 Enrollment ID: I20170123001700 |
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