Provider Demographics
NPI:1164248191
Name:INTIMA WELLBEING, LLC
Entity type:Organization
Organization Name:INTIMA WELLBEING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETHANY
Authorized Official - Middle Name:WELCH
Authorized Official - Last Name:PARSELL
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, APRN, CNP, CUNP
Authorized Official - Phone:419-408-5953
Mailing Address - Street 1:655 FOX RUN RD STE A
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-8401
Mailing Address - Country:US
Mailing Address - Phone:419-408-5953
Mailing Address - Fax:419-408-5953
Practice Address - Street 1:655 FOX RUN RD STE A
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-8401
Practice Address - Country:US
Practice Address - Phone:419-408-5953
Practice Address - Fax:419-408-5953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0127113Medicaid
OH1639561392OtherINDIVIDUAL NPI