Provider Demographics
NPI:1588262190
Name:APEX WELLNESS CENTER, LLC
Entity type:Organization
Organization Name:APEX WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:GUERLYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:HENSON
Authorized Official - Suffix:
Authorized Official - Credentials:DNP,FNP-C
Authorized Official - Phone:401-680-1238
Mailing Address - Street 1:32 MIDDLE HWY
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-1205
Mailing Address - Country:US
Mailing Address - Phone:401-680-1238
Mailing Address - Fax:
Practice Address - Street 1:32 MIDDLE HWY
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:RI
Practice Address - Zip Code:02806-1205
Practice Address - Country:US
Practice Address - Phone:704-915-1131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-15
Last Update Date:2021-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty