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Organization
OPTIMAL INTEGRATIVE HEALTHCARE LLC
Active
Organization
OPTIMAL INTEGRATIVE HEALTHCARE LLC
Active
Other names
Optimal Integrative Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY RENEE NELSON DC, FNP (PRESIDENT)
(641) 891-7384
Entity
Organization
Contact information
Practice address
11420 BROADWAY, CROWN POINT, IN 46307-7106
(219) 661-8680
(219) 661-8280
Mailing address
11420 BROADWAY, CROWN POINT, IN 46307-7106
(219) 661-8680
(219) 661-8280
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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