Intentional Wellness Medspa LLC
Nurse Practitioner, Family in Burlington, Massachusetts
1154088052- Practice location
- 99 Cambridge St, Burlington, MA 01803-4115
- Phone
- 781-552-8438
- Fax
- —
- Last updated
- February 9, 2025
Intentional Wellness Medspa LLC is a healthcare organization based in Burlington, MA. Intentional Wellness Medspa LLC practices in Burlington, MA. The NPI Number for Intentional Wellness Medspa LLC is 1154088052. The current practice location address for Intentional Wellness Medspa LLC is 99 Cambridge St, Burlington, MA 01803-4115 and can be reached out via phone at 781-552-8438.
Provider Profile Details
- NPI Number
- 1154088052
- Provider Name
- Intentional Wellness Medspa LLC
- Provider Entity Type
- Organization
- Address
- 99 Cambridge St, Burlington, MA 01803-4115
- Phone Number
- 781-552-8438
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Organization Subpart
- No
- Authorized Official
- La-Keisha Renee Milord · Ceo · 781-552-8438
- Other Names
- Intentional Homecare LLC (Former Legal Business Name)
- Provider Enumeration Date
- November 26, 2021
- Last Update Date
- February 9, 2025
- Certification Date
- February 9, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 99 Cambridge St
Burlington, MA 01803-4115 - City
- Burlington
- State
- Massachusetts
- Zip
- 01803-4115
- Phone Number
- 781-552-8438
Provider Business Mailing Address Details
- Address
- 3 Angela Cir
Burlington, MA 01803-3102 - City
- Burlington
- State
- MA
- Zip
- 01803-3102
- Phone Number
- 781-552-8438
License Information
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Intentional Wellness Medspa LLC?
The NPI number of Intentional Wellness Medspa LLC is 1154088052. It was assigned on November 26, 2021 and is currently active in the NPPES registry.
What is the specialty of Intentional Wellness Medspa LLC?
Intentional Wellness Medspa LLC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X).
Where does Intentional Wellness Medspa LLC practice?
The practice location is 99 Cambridge St, Burlington, MA 01803-4115. The office can be reached at 781-552-8438 (phone).
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 1154088052 directly on the NPPES registry website.