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Organization

INTEGRATIVE CORE WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VANESSA BOLLING DNP, APRN, FNP-BC (CEO)
(860) 995-2645
Entity
Organization

Contact information

Practice address
112 SPENCER ST STE 2A, MANCHESTER, CT 06040-4601
(860) 797-0163
(978) 672-5448
Mailing address
112 SPENCER ST STE 2A, MANCHESTER, CT 06040-4601
(860) 797-0163
(978) 672-5448

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Enumeration date
08/27/2025
Last updated
08/27/2025
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