Organization
EVOLVE WELLNESS AND AESTHETICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYLA SEWELL FNP-C (OWNER)
(214) 843-0713
Entity
Organization
Contact information
Practice address
12650 N BEACH ST STE 114-946, FORT WORTH, TX 76244-4256
(214) 843-0713
Mailing address
12650 N BEACH ST STE 114-946, FORT WORTH, TX 76244-4256
(214) 843-0713
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/30/2022
Last updated
06/12/2024
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