Lifestyle Wellness Llc

LBN: Lifestyle Wellness Llc
Lifestyle Wellness Llc is an health care organization with primary practice located at 3192 N Windsong Dr , Prescott Valley AZ 86314-2239. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as the primary health care specialty. Lifestyle Wellness Llc can be contacted via phone (928) 288-0500, or through Petullo, Colleen via phone (928) 288-0500.

Contact Information

Primary practice address
3192 N Windsong Dr Prescott Valley AZ 86314-2239
Phone: (928) 288-0500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Petullo, Colleen Nurse Practitioner (NP)
Phone: (928) 288-0500

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1750016192
LBN Legal business name Lifestyle Wellness Llc
DBA Doing business as
Authorized official Petullo, Colleen Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2022
Last updated Aug 22nd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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