Provider Demographics
NPI:1649141987
Name:EMPOWER WELLNESS LLC
Entity type:Organization
Organization Name:EMPOWER WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:JILL
Authorized Official - Last Name:WHALEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-300-7542
Mailing Address - Street 1:1665 HARTFORD AVE UNIT BOX 4
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-3200
Mailing Address - Country:US
Mailing Address - Phone:401-237-0131
Mailing Address - Fax:
Practice Address - Street 1:1665 HARTFORD AVE STE 4
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-3268
Practice Address - Country:US
Practice Address - Phone:401-237-0131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty