Wellformed AI

NPI 1013598358 · live from the CMS NPI Registry

365 Wellness

Nurse Practitioner, Primary Care in Lake Worth, FL. National Provider Identifier 1013598358, active.

NPI record

NPI1013598358 Type 2 · organization
StatusActive
Primary specialtyNurse Practitioner, Primary Care 363LP2300X
Practice location7611 Santee Ter, Lake Worth, FL 33467
Practice phone561-770-8072
EnumeratedApril 19, 2021
Last updatedMay 4, 2021
Authorized officialRoshini Singh, Family Nurse Practitioner
Other names365 Wellness

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Primary Care primary363LP2300X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.