Organization
INNOVATIVE WELLNESS AND WEIGHT LOSS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS HEATHER PAVLINSKY CRNP (OWNER)
(724) 635-0147
Entity
Organization
Contact information
Practice address
322 ARMBRUST RD STE 102, YOUNGWOOD, PA 15697-1816
(724) 635-0147
(724) 804-0703
Mailing address
322 ARMBRUST RD STE 102, YOUNGWOOD, PA 15697-1816
(724) 635-0147
(724) 804-0703
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811249196
NPI
PA
Enumeration date
05/01/2019
Last updated
12/18/2019
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