Provider Demographics
NPI:1316627045
Name:ADVANCED VITAL BEING HEALTH & WELLNESS PLLC
Entity type:Organization
Organization Name:ADVANCED VITAL BEING HEALTH & WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:PAQUETTE RESENDES
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:508-895-9486
Mailing Address - Street 1:113 NIAGARA ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02721-2739
Mailing Address - Country:US
Mailing Address - Phone:401-895-9486
Mailing Address - Fax:
Practice Address - Street 1:10 DURFEE ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-2135
Practice Address - Country:US
Practice Address - Phone:401-895-9486
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-18
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty