Provider Demographics
NPI:1063272201
Name:FIGURE 8 INTEGRATIVE HEALTH & WELLNESS LLC
Entity type:Organization
Organization Name:FIGURE 8 INTEGRATIVE HEALTH & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHARITY
Authorized Official - Middle Name:
Authorized Official - Last Name:NYUGUTO
Authorized Official - Suffix:
Authorized Official - Credentials:FNPC
Authorized Official - Phone:732-425-4363
Mailing Address - Street 1:15 PARK PL STE C
Mailing Address - Street 2:
Mailing Address - City:SWANSEA
Mailing Address - State:IL
Mailing Address - Zip Code:62226-2918
Mailing Address - Country:US
Mailing Address - Phone:732-425-4363
Mailing Address - Fax:618-257-0715
Practice Address - Street 1:15 PARK PL STE C
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:IL
Practice Address - Zip Code:62226-2918
Practice Address - Country:US
Practice Address - Phone:732-425-4363
Practice Address - Fax:618-257-0715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty