# ORCHID ISLE WELLNESS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134847254
- **Authorized official:** ANN M COX APN (OWNER)
- **Authorized official phone:** (970) 413-3776

## Contact information

- **Practice address:** 208 W NORTH ST STE 2, CORTEZ, CO 81321-3143
- **Practice address phone:** (970) 413-3776
- **Practice address fax:** (833) 536-1752
- **Mailing address:** PO BOX 10464, HILO, HI 96721-5464
- **Mailing address phone:** (970) 413-3776
- **Mailing address fax:** (833) 536-1752

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/15/2022
- **Last updated:** 08/15/2022