Provider Demographics
NPI:1215636618
Name:ADORN HEALTH & WELLNESS LLC
Entity type:Organization
Organization Name:ADORN HEALTH & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:FREDIEU
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:281-827-3011
Mailing Address - Street 1:22533 E SHOREWOOD LOOP
Mailing Address - Street 2:
Mailing Address - City:HUFFMAN
Mailing Address - State:TX
Mailing Address - Zip Code:77336-2691
Mailing Address - Country:US
Mailing Address - Phone:281-827-3011
Mailing Address - Fax:
Practice Address - Street 1:20031 W LAKE HOUSTON PKWY STE 400
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-3462
Practice Address - Country:US
Practice Address - Phone:281-827-3011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-24
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty