Organization
INNOVATIVE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY WHITE (CREDENTIALING SPECIALIST)
(304) 688-7027
Entity
Organization
Contact information
Practice address
14225 UNIVERSITY AVE STE 225, WAUKEE, IA 50263-8248
(515) 355-3200
(515) 598-7626
Mailing address
14225 UNIVERSITY AVE STE 225, WAUKEE, IA 50263-8248
(515) 355-3200
(515) 598-7626
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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