Io Wellness
Nurse Practitioner, Family in Coos Bay, OR. Organization (NPI-2).
NPI number1497464671
StatusActive
Last updated in NPPESNov 21, 2022
Details
- NPI
- 1497464671
- Entity type
- Organization (NPI-2)
- Legal business name
- Io Wellness
- Organization subpart
- No
- Enumeration date
- Nov 16, 2022
- Certification date
- Nov 21, 2022
- Last updated
- Nov 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
89166 Lighthouse WayCoos Bay, OR 97420-7649
Phone 541-245-7200
Mailing address
89166 Lighthouse WayCoos Bay, OR 97420-7649
Phone 541-245-7200
Authorized official
Heather Sullivan
Owner
5412467200
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