Provider Demographics
NPI:1538905468
Name:NOUVEAU HEALTH AND WELLNESS
Entity type:Organization
Organization Name:NOUVEAU HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:SUZE
Authorized Official - Middle Name:HELEN'S
Authorized Official - Last Name:TESSIER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:407-967-2290
Mailing Address - Street 1:2628 W SR 434
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-4815
Mailing Address - Country:US
Mailing Address - Phone:407-967-2290
Mailing Address - Fax:
Practice Address - Street 1:2628 W SR 434
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-4815
Practice Address - Country:US
Practice Address - Phone:407-967-2290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care