Provider Demographics
NPI:1205602968
Name:BALANCED BODY HEALTH AND WELLNESS LLC
Entity type:Organization
Organization Name:BALANCED BODY HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:402-850-4514
Mailing Address - Street 1:10815 ELM ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-4819
Mailing Address - Country:US
Mailing Address - Phone:402-807-5333
Mailing Address - Fax:402-804-2997
Practice Address - Street 1:10815 ELM ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-4819
Practice Address - Country:US
Practice Address - Phone:402-807-5333
Practice Address - Fax:402-804-2997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty