Organization · NPI-2

Aa Warrior Holistic Wellness Practice LLC

Nurse Practitioner, Primary Care · Bolingbrook, IL

NPI number1265308936

StatusActive

Last updated in NPPESOct 10, 2025

Details

NPI: 1265308936
Entity type: Organization (NPI-2)
Legal business name: Aa Warrior Holistic Wellness Practice LLC
Organization subpart: No
Enumeration date: Oct 10, 2025
Certification date: Oct 10, 2025
Last updated: Oct 10, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LP2300X	Nurse Practitioner, Primary Care	–	–	Yes
171000000X	Military Health Care Provider	–	–
363LF0000X	Nurse Practitioner, Family	–	–
363LP0808X	Nurse Practitioner, Psych/Mental Health	–	–
363LW0102X	Nurse Practitioner, Women's Health	–	–

Practice location

149 Lilac St
Bolingbrook, IL 60490-2022

Phone 910-676-2227

Mailing address

Po Box 27
Bolingbrook, IL 60440-1087

Phone 910-676-2227

Authorized official

Alysa Angel
Nurse Practitioner
9106762227

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