Integrative Core Wellness, LLC
Nurse Practitioner, Primary Care in Manchester, Connecticut
1902784820- Practice location
- 112 Spencer St Ste 2A, Manchester, CT 06040-4601
- Phone
- 860-797-0163
- Fax
- 978-672-5448
- Last updated
- August 27, 2025
Integrative Core Wellness, LLC is a healthcare organization based in Manchester, CT. Integrative Core Wellness, LLC practices in Manchester, CT. The NPI Number for Integrative Core Wellness, LLC is 1902784820. The current practice location address for Integrative Core Wellness, LLC is 112 Spencer St Ste 2A, Manchester, CT 06040-4601 and can be reached out via phone at 860-797-0163 and via fax at 978-672-5448.
Provider Profile Details
- NPI Number
- 1902784820
- Provider Name
- Integrative Core Wellness, LLC
- Provider Entity Type
- Organization
- Address
- 112 Spencer St Ste 2A, Manchester, CT 06040-4601
- Phone Number
- 860-797-0163
- Fax Number
- 978-672-5448
- Primary Taxonomy
- Nurse Practitioner, Primary Care · 363LP2300X
- Organization Subpart
- No
- Authorized Official
- Vanessa Bolling, DNP, APRN, FNP-BC · Ceo · 860-995-2645
- Provider Enumeration Date
- August 27, 2025
- Last Update Date
- August 27, 2025
- Certification Date
- August 27, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 112 Spencer St Ste 2A
Manchester, CT 06040-4601 - City
- Manchester
- State
- Connecticut
- Zip
- 06040-4601
- Phone Number
- 860-797-0163
- Fax Number
- 978-672-5448
Provider Business Mailing Address Details
- Address
- 112 Spencer St Ste 2A
Manchester, CT 06040-4601 - City
- Manchester
- State
- CT
- Zip
- 06040-4601
- Phone Number
- 860-797-0163
- Fax Number
- 978-672-5448
License Information
- Taxonomy
- Nurse Practitioner, Primary Care · 363LP2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Primary Care providers near Manchester, CT
View all Nurse Practitioner, Primary Care providers in Manchester →Frequently Asked Questions
What is the NPI number of Integrative Core Wellness, LLC?
The NPI number of Integrative Core Wellness, LLC is 1902784820. It was assigned on August 27, 2025 and is currently active in the NPPES registry.
What is the specialty of Integrative Core Wellness, LLC?
Integrative Core Wellness, LLC is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X).
Where does Integrative Core Wellness, LLC practice?
The practice location is 112 Spencer St Ste 2A, Manchester, CT 06040-4601. The office can be reached at 860-797-0163 (phone) or 978-672-5448 (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 1902784820 directly on the NPPES registry website.