Active NPIOrganization

Wolverine Healthcare LLC

Nurse Practitioner in Pittsfield, Massachusetts

NPI Number1043015837
Practice location
82 Wendell Ave Ste 100, Pittsfield, MA 01201-7066
Fax
423-301-6604
Last updated
February 19, 2025

Wolverine Healthcare LLC is a healthcare organization based in Pittsfield, MA. Wolverine Healthcare LLC practices in Pittsfield, MA. The NPI Number for Wolverine Healthcare LLC is 1043015837. The current practice location address for Wolverine Healthcare LLC is 82 Wendell Ave Ste 100, Pittsfield, MA 01201-7066 and can be reached out via phone at 617-517-6340 and via fax at 423-301-6604.

Provider Profile Details

NPI Number
1043015837
Provider Name
Wolverine Healthcare LLC
Provider Entity Type
Organization
Address
82 Wendell Ave Ste 100, Pittsfield, MA 01201-7066
Phone Number
617-517-6340
Fax Number
423-301-6604
Primary Taxonomy
Nurse Practitioner · 363L00000X
Organization Subpart
No
Authorized Official
Ethan Slabaugh, DNP, FNP-BC, BSN, RN · Nurse Practitioner · 617-517-6340
Provider Enumeration Date
February 15, 2025
Last Update Date
February 19, 2025
Certification Date
February 19, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
82 Wendell Ave Ste 100
Pittsfield, MA 01201-7066
Zip
01201-7066
Phone Number
617-517-6340
Fax Number
423-301-6604
Pittsfield, MA 01201Get directions →

Provider Business Mailing Address Details

Address
82 Wendell Ave Ste 100
Pittsfield, MA 01201-7066
City
Pittsfield
State
MA
Zip
01201-7066
Phone Number
617-517-6340
Fax Number
423-301-6604

License Information

Taxonomy (1)
Nurse Practitioner · 363L00000X · Primary
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Wolverine Healthcare LLC?

The NPI number of Wolverine Healthcare LLC is 1043015837. It was assigned on February 15, 2025 and is currently active in the NPPES registry.

What is the specialty of Wolverine Healthcare LLC?

Wolverine Healthcare LLC is registered under the primary taxonomy Nurse Practitioner (code 363L00000X).

Where does Wolverine Healthcare LLC practice?

The practice location is 82 Wendell Ave Ste 100, Pittsfield, MA 01201-7066. The office can be reached at 617-517-6340 (phone) or 423-301-6604 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043015837 directly on the NPPES registry website.

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