# SUNSHINE FUNCTIONAL HEALING ADVANCED WELLNESS PLLC

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

## Provider details

- **NPI number:** 1932011293
- **Authorized official:** AMY MARIE READ AGACNP-BC (NURSE PRACTITIONER)
- **Authorized official phone:** (843) 424-1015

## Contact information

- **Practice address:** 2122 HELEN AVE, PORTAGE, MI 49002-1670
- **Practice address phone:** (269) 626-3445
- **Practice address fax:** (262) 326-5009
- **Mailing address:** 2122 HELEN AVE, PORTAGE, MI 49002-1670
- **Mailing address phone:** (269) 626-3445
- **Mailing address fax:** (262) 326-5009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

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