NPI 1104600063
Innovative Health & Well Being, LLC
Practice location
- Address
- 501 Angell St # 201, Providence, RI 02906-4467
- Phone
- (774) 200-7579
- Mailing address
- 28 Rochambeau Ave Unit 2, Providence, RI 02906-1908
Authorised official
- Name
- Nancy J Roy
- Title
- Member
- Phone
- (774) 200-7579
Registered specialties
Integrative Medicine Physician
Primary
Registry record
- NPI
- 1104600063
- Entity type
- Organization
- NPI issued
- 22 Aug 2023
- Record last updated
- 27 Sep 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.