Provider Demographics
NPI:1922849694
Name:AROMANCE LIFE INSTITUTE OF HOLISTIC & COMPREHENSIVE HEALTH&NURSING INC
Entity type:Organization
Organization Name:AROMANCE LIFE INSTITUTE OF HOLISTIC & COMPREHENSIVE HEALTH&NURSING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:UDOR
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:760-284-4493
Mailing Address - Street 1:272 BAY VISTA CIR
Mailing Address - Street 2:
Mailing Address - City:SAUSALITO
Mailing Address - State:CA
Mailing Address - Zip Code:94965-1038
Mailing Address - Country:US
Mailing Address - Phone:760-284-4493
Mailing Address - Fax:760-727-9353
Practice Address - Street 1:1 HARBOR DR STE 300
Practice Address - Street 2:
Practice Address - City:SAUSALITO
Practice Address - State:CA
Practice Address - Zip Code:94965-1434
Practice Address - Country:US
Practice Address - Phone:760-284-4493
Practice Address - Fax:415-727-9353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-05
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty