Organization
ENCORE WELLNESS 4 LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ARMSTRONG ARNP (OWNER)
(541) 922-1750
Entity
Organization
Contact information
Practice address
135 VISTA WAY STE E, KENNEWICK, WA 99336-3169
(541) 922-1750
Mailing address
PO BOX 1290, UMATILLA, OR 97882-1290
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP60458026
NURSE PRACTITIONER
WA
01
—
RN00119155
REGISTERED NURSE
WA
Enumeration date
05/02/2019
Last updated
05/02/2019
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