Organization
OPTIMAL INTEGRATIVE HEALTHCARE LLC
Active
Other names
Optimal Integrative Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY RENEE NELSON DC, FNP (PRESIDENT)
(641) 891-7384
Entity
Organization
Contact information
Practice address
11420 BROADWAY, CROWN POINT, IN 46307-7106
(219) 661-8680
(219) 661-8280
Mailing address
11420 BROADWAY, CROWN POINT, IN 46307-7106
(219) 661-8680
(219) 661-8280
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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