Organization
EMPOWER WELLNESS CENTER, LLC
Active
Other names
Empower Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
STACIE LYNN HOUSHOLDER FNP-C (NURSE PRACTITIONER/CO-OWNER)
(260) 602-3472
Entity
Organization
Contact information
Practice address
12722 TONKEL RD, FORT WAYNE, IN 46845-8200
(260) 602-3472
Mailing address
12722 TONKEL RD, FORT WAYNE, IN 46845-8200
(260) 602-3472
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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