# DE MORGAN WELLNESS GROUP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** THE DEMORGAN WELLNESS GROUP, LLC, The De Morgan Wellness Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881132660
- **Authorized official:** MS. SANDY MARIE ANDERSON FNP (OWNER)
- **Authorized official phone:** (937) 247-6360

## Contact information

- **Practice address:** 7271 N MAIN ST STE 2, DAYTON, OH 45415-2561
- **Practice address phone:** (937) 609-0566
- **Practice address fax:** (937) 991-0089
- **Mailing address:** 7271 N MAIN ST STE 2, DAYTON, OH 45415-2561
- **Mailing address phone:** (937) 991-0082
- **Mailing address fax:** (937) 771-0836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | COA07003NP | OH | Yes |

## Other

- **Enumeration date:** 02/01/2017
- **Last updated:** 03/17/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1871685792 | INDIVIDUAL NPI | OH |
| 01 | — | 1881132660 | NPI | OH |
| 05 | — | 2388901 | — | OH |