Organization
NSPYRED WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI J JEWELL (OWNER)
(202) 607-6738
Entity
Organization
Contact information
Practice address
9505 WARWICK BLVD, NEWPORT NEWS, VA 23601-4538
(415) 849-0591
Mailing address
9505 WARWICK BLVD, NEWPORT NEWS, VA 23601-4538
(415) 849-0591
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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