Provider Demographics
NPI:1194486456
Name:SIMPLY SWEET HEALTH
Entity type:Organization
Organization Name:SIMPLY SWEET HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNATT
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:540-760-7457
Mailing Address - Street 1:6316 FIVE MILE CENTRE PARK STE 300
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-5511
Mailing Address - Country:US
Mailing Address - Phone:540-760-7457
Mailing Address - Fax:
Practice Address - Street 1:6316 FIVE MILE CENTRE PARK STE 300
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-5511
Practice Address - Country:US
Practice Address - Phone:540-760-7457
Practice Address - Fax:984-538-5497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-07
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care