Organization
BE TOTALLY WELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDACE NICOLEAU NP (NURSE PRACTITIONER/OWNER)
(347) 869-1581
Entity
Organization
Contact information
Practice address
2570 HEMPSTEAD TPKE UNIT 2, EAST MEADOW, NY 11554-2146
(516) 548-0600
(516) 548-0605
Mailing address
980 CRAMER CT, NORTH BALDWIN, NY 11510-1215
(347) 869-1581
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
07/16/2025
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