# EPIWELL, LLC

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

## Provider details

- **NPI number:** 1629588306
- **Authorized official:** DR. MAGNOLIA ARIZA-NIETO (FOUNDER-CEO/ PI)
- **Authorized official phone:** (607) 229-2780

## Contact information

- **Practice address:** 108 ASTER LN APT 215, ITHACA, NY 14850-1372
- **Practice address phone:** (607) 229-2780
- **Mailing address:** 108 ASTER LN APT 215, ITHACA, NY 14850-1372
- **Mailing address phone:** (607) 229-2780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171R00000X | Interpreter | — | NULL | — |
| 171R00000X | Interpreter | — | — | — |
| 174H00000X | Health Educator | — | NULL | Yes |
| 174H00000X | Health Educator | — | — | Yes |

## Other

- **Enumeration date:** 10/06/2017
- **Last updated:** 02/20/2020
