INVIGORATION HEALTH CORP
NPI 1033856307
Nurse Practitioner - Psychiatric/Mental Health in Doral, FL

Active since May 17, 2022
8450 NW 102ND AVE, DORAL, FL 33178(360) 643-6562 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 22, 2022, Sep 1, 2022, Aug 16, 2022 and 1 more (4 updates tracked since 2022).

  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About INVIGORATION HEALTH CORP

This page provides the complete NPI Profile along with additional information for Invigoration Health Corp, a provider established in Doral, Florida operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1033856307 assigned on May 2022. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Invigoration Health Corp operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Stacy Wideman Pmhnp (Ceo/owner)

NPI
1033856307 Verify this NPI
Provider Name
INVIGORATION HEALTH CORP
Entity Type
Organization
Location Address
8450 NW 102ND AVE DORAL, FL 33178
Location Phone
(360) 643-6562
Mailing Address
370 HOLDINGS DR LAWRENCEVILLE, GA 30044
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-17-2022
Last Update Date
11-22-2022
Code Navigator

A nurse practitioner (NP) like Invigoration Health Corp is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 3235 Satellite Blvd Ste 300
    Duluth, GA 30096
    (360) 643-6562

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STACY WIDEMAN PMHNP

Authorized Official Title
CEO/OWNER
Authorized Official Phone
(678) 235-4853

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Psychiatric/Mental Health)
8450 NW 102ND AVE
DORAL, FL 33178

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033856307, enumerated as an "organization" on May 17, 2022.

The provider is located at 8450 NW 102ND AVE DORAL, FL 33178 and the phone number is (360) 643-6562.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.