Provider Demographics
NPI:1548008469
Name:PRECISION WELLNESS NURSING INC
Entity type:Organization
Organization Name:PRECISION WELLNESS NURSING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:ROCHA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:661-762-3949
Mailing Address - Street 1:13061 ROSEDALE HWY STE G511
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93314-7612
Mailing Address - Country:US
Mailing Address - Phone:661-762-3949
Mailing Address - Fax:661-200-7502
Practice Address - Street 1:13061 ROSEDALE HWY STE G511
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93314-7612
Practice Address - Country:US
Practice Address - Phone:661-762-3949
Practice Address - Fax:661-200-7502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty