# OPTIMAL INTEGRATIVE HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Optimal Integrative Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538936646
- **Authorized official:** DR. ASHLEY RENEE NELSON DC, FNP (PRESIDENT)
- **Authorized official phone:** (641) 891-7384

## Contact information

- **Practice address:** 11420 BROADWAY, CROWN POINT, IN 46307-7106
- **Practice address phone:** (219) 661-8680
- **Practice address fax:** (219) 661-8280
- **Mailing address:** 11420 BROADWAY, CROWN POINT, IN 46307-7106
- **Mailing address phone:** (219) 661-8680
- **Mailing address fax:** (219) 661-8280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 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