Blossom Wellness Llc

LBN: Blossom Wellness Llc
Blossom Wellness Llc is an health care organization with primary practice located at 625 Hayward Ave N , Oakdale MN 55128-7127. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Blossom Wellness Llc can be contacted via phone (651) 410-7955, or through Starllone, Elvis Tambi via phone (651) 410-7955.

Contact Information

Primary practice address
625 Hayward Ave N Oakdale MN 55128-7127
Phone: (651) 410-7955
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Starllone, Elvis Tambi Certified Nurse Practitioner (CNP)
Phone: (651) 410-7955

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1164289690
LBN Legal business name Blossom Wellness Llc
DBA Doing business as
Authorized official Starllone, Elvis Tambi Certified Nurse Practitioner (CNP)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2024
Last updated Mar 1st, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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