| Journey2wellness, Llc | |
|
401 E Gold Coast Rd Ste 340 Papillion NE 68046-4131 | |
| (402) 884-9059 | |
| (833) 875-0053 |
| Full Name | Journey2wellness, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 401 E Gold Coast Rd Ste 340, Papillion, Nebraska |
| Authorized Official Name and Position | Latrice D. Martin (OWNER) |
| Authorized Official Contact | 4024312115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey2wellness, Llc 909 N Adams St Unit 460700 Papillion NE 68046-3078 Ph: () - | Journey2wellness, Llc 401 E Gold Coast Rd Ste 340 Papillion NE 68046-4131 Ph: (402) 884-9059 |
| NPI Number | 1922746502 |
|---|---|
| Provider Enumeration Date | 05/24/2022 |
| Last Update Date | 08/10/2024 |
| Medicare PECOS PAC ID | 9830577592 |
|---|---|
| Medicare Enrollment ID | O20220608001653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922746502 | NPI | - | NPPES |
| Provider Name | Latrice Diann Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932439205 PECOS PAC ID: 8426230848 Enrollment ID: I20220608001731 |
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