Provider profile · NPI 1013598358

365 Wellness

Nurse Practitioner, Primary Care · Lake Worth, FL · NPI 1013598358 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Nurse Practitioner, Primary Care

Enumerated

Apr 19, 2021

License(s)

Addresses on file

PurposeAddressCity/StatePhone
LOCATION7611 SANTEE TER Lake Worth, FL 33467-7866561-770-8072
MAILING7611 SANTEE TER Lake Worth, FL 33467-7866195-443-9063

View on NPPES registry ↗

Watch this provider

Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.