Provider Demographics
NPI:1124709514
Name:WELLNESS WITH STYLE BY ADRIANI, LLC
Entity type:Organization
Organization Name:WELLNESS WITH STYLE BY ADRIANI, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADRIANE
Authorized Official - Middle Name:B
Authorized Official - Last Name:MCPHEETERS
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:561-808-6907
Mailing Address - Street 1:7901 4TH ST N STE 6251
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-4305
Mailing Address - Country:US
Mailing Address - Phone:561-808-6907
Mailing Address - Fax:
Practice Address - Street 1:522 W RIVERSIDE AVE STE 4423
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0580
Practice Address - Country:US
Practice Address - Phone:360-200-0473
Practice Address - Fax:888-340-7510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty