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Organization

AA WARRIOR HOLISTIC WELLNESS PRACTICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALYSA ANGEL DNP,APRN, (NURSE PRACTITIONER)
(910) 676-2227
Entity
Organization

Contact information

Practice address
149 LILAC ST, BOLINGBROOK, IL 60490-2022
(910) 676-2227
Mailing address
PO BOX 27, BOLINGBROOK, IL 60440-1087
(910) 676-2227

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
363LP2300X
Primary Care Nurse Practitioner
Primary
363LW0102X
Women's Health Nurse Practitioner

Other

Enumeration date
10/10/2025
Last updated
10/10/2025
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