Provider Demographics
NPI:1447852769
Name:SISTERS HEALTH & WELLNESS CENTER
Entity type:Organization
Organization Name:SISTERS HEALTH & WELLNESS CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MSN APRN, FNP-C
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGREW
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:985-773-4598
Mailing Address - Street 1:PO BOX 603
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:CO
Mailing Address - Zip Code:81643-0603
Mailing Address - Country:US
Mailing Address - Phone:985-773-4598
Mailing Address - Fax:
Practice Address - Street 1:1615 PTARMIGAN RIDGE CIR
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81506-5256
Practice Address - Country:US
Practice Address - Phone:985-773-4598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care