Provider Demographics
NPI:1922804590
Name:NURTURED HEALTH WELLNESS NP IN FAMILY HEALTH PLLC
Entity type:Organization
Organization Name:NURTURED HEALTH WELLNESS NP IN FAMILY HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ALANA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERARD
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:917-304-2484
Mailing Address - Street 1:11032 168TH ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11433-3420
Mailing Address - Country:US
Mailing Address - Phone:917-304-2484
Mailing Address - Fax:866-507-2531
Practice Address - Street 1:210 E SUNRISE HWY STE 148
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:NY
Practice Address - Zip Code:11520-3943
Practice Address - Country:US
Practice Address - Phone:917-264-7728
Practice Address - Fax:866-507-2531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service