# ROOTS OF WELLNESS, PLLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Roots of Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972373371
- **Authorized official:** GENEVIEVE SIMONE HUDGINS APRN (OWNER/OPERATOR)
- **Authorized official phone:** (701) 699-4024

## Contact information

- **Practice address:** 19 8TH ST. S. PMB 409, FARGO, ND 58103-1804
- **Practice address phone:** (701) 699-4024
- **Practice address fax:** (701) 670-2624
- **Mailing address:** 19 8TH ST. S. PMB 409, FARGO, ND 58103
- **Mailing address phone:** (701) 699-4024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/05/2024
- **Last updated:** 03/11/2024