Provider Demographics
NPI:1063165298
Name:BEE WELL CLINIC, PLLC
Entity type:Organization
Organization Name:BEE WELL CLINIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PIOTTER
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP-BC
Authorized Official - Phone:320-321-2950
Mailing Address - Street 1:1319 GROVE AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:MONTEVIDEO
Mailing Address - State:MN
Mailing Address - Zip Code:56265-1726
Mailing Address - Country:US
Mailing Address - Phone:320-321-2950
Mailing Address - Fax:949-863-2659
Practice Address - Street 1:1319 GROVE AVE STE 3
Practice Address - Street 2:
Practice Address - City:MONTEVIDEO
Practice Address - State:MN
Practice Address - Zip Code:56265-1726
Practice Address - Country:US
Practice Address - Phone:320-321-2950
Practice Address - Fax:949-863-2659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-28
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care