# ABUNDANT LIFE FUNCTIONAL HEALTH LLC

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

## Provider details

- **NPI number:** 1851203137
- **Authorized official:** MISTY DAWSON NP (NURSE PRACTITIONER)
- **Authorized official phone:** (574) 551-7417

## Contact information

- **Practice address:** 955 FISHER AVE, WARSAW, IN 46580-4743
- **Practice address phone:** (260) 291-4266
- **Mailing address:** 955 FISHER AVE, WARSAW, IN 46580-4743
- **Mailing address phone:** (260) 291-4266

## Taxonomy

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

## Other

- **Enumeration date:** 09/21/2026
- **Last updated:** 09/21/2026