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Upstream Health & Wellness, Llc
Family Nurse Practitioner in Portage, Indiana
NPI 1174082523

Upstream Health & Wellness, Llc is a Family Nurse Practitioner based in Portage, IN and is specialized in Family. Upstream Health & Wellness, Llc practices in Portage, IN. The NPI Number for Upstream Health & Wellness, Llc is 1174082523 and holds a License No. (Indiana).

The current practice location address for Upstream Health & Wellness, Llc is 3207 Willowcreek Rd Ste A, Portage, IN and can be reached out via phone at 219-763-3636 and via fax at 219-764-2479.

Location: 3207 Willowcreek Rd Ste A, Portage, IN, 46368-5013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174082523
Provider Name
Upstream Health & Wellness, Llc
Credential
Provider Entity Type
Organization
Address
3207 Willowcreek Rd Ste A, Portage, IN, 46368-5013
Phone Number
219-763-3636
Fax Number
219-764-2479
Provider Enumeration Date
03/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3207 Willowcreek Rd Ste A
City
Portage
State
Indiana
Zip
46368-5013
Phone Number
219-763-3636
Fax Number
219-764-2479
person
Provider Business Mailing Address Details
Address
3207 Willowcreek Rd Ste A
City
Portage
State
Indiana
Zip
46368-5013
Phone Number
219-763-3636
Fax Number
219-764-2479
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
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Definition
Definition to come...
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