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PURE WELLNESS & AESTHETICS, LLC
NPI 1619632643
Nurse Practitioner - Family in Winter Haven, FL

Active since November 04, 2021
733 TERRANOVA AVE, WINTER HAVEN, FL 33884(863) 221-5566 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 13, 2022, Nov 4, 2021 (2 updates tracked since 2021).

About Pure Wellness & Aesthetics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PURE WELLNESS & AESTHETICS, LLC (NPI 1619632643) is a healthcare organization registered as a family in Winter Haven, Florida and active in the NPI registry since November 2021. The organization lists Nacresha Nicole Richardson, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1619632643
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePURE WELLNESS & AESTHETICS, LLC
Location Address733 TERRANOVA AVEWinter Haven, FL 33884-3411
Mailing AddressPo Box 1435Winter Haven, FL 33882-1435
Phone(863) 221-5566
Organization SubpartNo
Authorized OfficialNacresha Nicole RichardsonOwner/ceo · (863) 288-1709
Enumeration DateNovember 4, 2021
Last NPPES UpdateApril 13, 20222 updates tracked since enumeration
NPPES CertifiedApril 13, 2022
✔ NPI 1619632643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
733 TERRANOVA AVE, Winter Haven, FL 33884
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

URGENTNP, LLC
Clinic/Center (Primary Care)
733 TERRANOVA AVE
WINTER HAVEN, FL 33884
Polk County (863) 221-5566

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pure Wellness & Aesthetics, LLC's NPI number?

The NPI number for Pure Wellness & Aesthetics, LLC is 1619632643. It was assigned to this organization in the NPPES registry on November 4, 2021.

Where is Pure Wellness & Aesthetics, LLC located?

Pure Wellness & Aesthetics, LLC is located at 733 Terranova Ave, Winter Haven, FL 33884. The listed phone number is (863) 221-5566.

What is Pure Wellness & Aesthetics, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Pure Wellness & Aesthetics, LLC was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.