# INTEGRATIVE CORE WELLNESS, LLC

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

## Provider details

- **NPI number:** 1902784820
- **Authorized official:** VANESSA BOLLING DNP, APRN, FNP-BC (CEO)
- **Authorized official phone:** (860) 995-2645

## Contact information

- **Practice address:** 112 SPENCER ST STE 2A, MANCHESTER, CT 06040-4601
- **Practice address phone:** (860) 797-0163
- **Practice address fax:** (978) 672-5448
- **Mailing address:** 112 SPENCER ST STE 2A, MANCHESTER, CT 06040-4601
- **Mailing address phone:** (860) 797-0163
- **Mailing address fax:** (978) 672-5448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/27/2025
- **Last updated:** 08/27/2025