# EXPRESS CARE & WELLNESS CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Express Care and wellness.org
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508681149
- **Authorized official:** LYDIA NGANGA FNP (FNP)
- **Authorized official phone:** (913) 207-9410

## Contact information

- **Practice address:** 12599 S BELFORD ST, OLATHE, KS 66061-7814
- **Practice address phone:** (913) 207-9410
- **Mailing address:** 12599 S BELFORD ST, OLATHE, KS 66061-7814
- **Mailing address phone:** (913) 201-9410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2024
- **Last updated:** 11/19/2024
