Provider Demographics
NPI:1992481741
Name:SUNFLOWER HEALTH AND HEALING LLC
Entity type:Organization
Organization Name:SUNFLOWER HEALTH AND HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:SARAH
Authorized Official - Last Name:CLINTON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:505-555-5555
Mailing Address - Street 1:5203 JUAN TABO BLVD NE STE 2B
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-2691
Mailing Address - Country:US
Mailing Address - Phone:505-657-4524
Mailing Address - Fax:
Practice Address - Street 1:5203 JUAN TABO BLVD NE STE 2B
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-2691
Practice Address - Country:US
Practice Address - Phone:505-657-4524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-26
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service