# WELLNESS REWIRED LLC

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

## Provider details

- **NPI number:** 1992563415
- **Authorized official:** KRISTA PLANKO RN (OWNER)
- **Authorized official phone:** (267) 257-6451

## Contact information

- **Practice address:** 12 TIFFANY PL, SARATOGA SPRINGS, NY 12866-9006
- **Practice address phone:** (267) 257-6451
- **Mailing address:** 12 TIFFANY PL, SARATOGA SPRINGS, NY 12866-9006
- **Mailing address phone:** (267) 257-6451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | NULL | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

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