ADDICTIVE WELLNESS, LLC
NPI 1699580894
Registered Nurse - Infusion Therapy in Waynoka, OK
Active since February 12, 2025
About Addictive Wellness, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADDICTIVE WELLNESS, LLC (NPI 1699580894) is a healthcare organization registered as an infusion therapy in Waynoka, Oklahoma and active in the NPI registry since February 2025. The organization lists Thomas Minichiello, Rn/holistic Health Practitioner, as its authorized official.
NPPES Registry Identity
NPI1699580894
Entity TypeOrganization
Primary Taxonomy163WI0500X
Legal Business NameADDICTIVE WELLNESS, LLC
Location Address1630 SANTA FE STWaynoka, OK 73860-3946
Mailing Address9929 County Road 350Waynoka, OK 73860-6934 · (580) 216-9554
Phone(580) 216-9554
Organization SubpartNo
Authorized OfficialThomas MinichielloRn/holistic Health Practitioner · (580) 216-9554
Enumeration DateFebruary 12, 2025
NPPES CertifiedFebruary 12, 2025
✔ NPI 1699580894 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Infusion TherapyNursing Service Providers
Taxonomy Code163WI0500X
1630 SANTA FE ST, Waynoka, OK 73860
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
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699580894, enumerated as an "organization" on February 12, 2025.
The provider is located at 1630 SANTA FE ST WAYNOKA, OK 73860 and the phone number is (580) 216-9554.
Registered Nurse with taxonomy code 163WI0500X and a focus in Infusion Therapy.