Provider Demographics
NPI:1316641970
Name:SOAL WELLNESS LLC
Entity type:Organization
Organization Name:SOAL WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HINMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNPC
Authorized Official - Phone:602-748-7333
Mailing Address - Street 1:930 W WILLETTA ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85007-1923
Mailing Address - Country:US
Mailing Address - Phone:602-730-4535
Mailing Address - Fax:
Practice Address - Street 1:11209 N TATUM BLVD STE 140
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-3024
Practice Address - Country:US
Practice Address - Phone:602-730-4535
Practice Address - Fax:602-834-9425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-28
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty