WELLNESS CLINIC AND MEDICAL SPA LLC
NPI 1851717797
Nurse Practitioner - Family in Purcell, OK

Active since March 17, 2014
128 W MAIN ST, PURCELL, OK 73080(405) 527-4704(405) 527-5976 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellness Clinic And Medical Spa Llc NPPES

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

WELLNESS CLINIC AND MEDICAL SPA LLC (NPI 1851717797) is a healthcare organization registered as a family in Purcell, Oklahoma and active in the NPI registry since March 2014. The organization lists Diane Dewbre, Nurse Practitioner, Owner, as its authorized official.

NPPES Registry Identity

NPI1851717797
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWELLNESS CLINIC AND MEDICAL SPA LLC
Location Address128 W MAIN STPurcell, OK 73080-4220
Mailing AddressPo Box 269031Oklahoma City, OK 73126-9031 · (877) 485-4474 · Fax (405) 527-5976
Fax(405) 527-5976
Organization SubpartNo
Authorized OfficialDiane DewbreNurse Practitioner, Owner · (405) 527-4704
Enumeration DateMarch 17, 2014
Last NPPES UpdateOctober 30, 2019
NPI 1851717797 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
License Licensed in OK · 49456
128 W MAIN ST, Purcell, OK 73080

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 4

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

Nurse Practitioner (Gerontology)
128 W MAIN ST
PURCELL, OK 73080
Nurse Practitioner (Primary Care)
128 W MAIN ST
PURCELL, OK 73080
Nurse Practitioner (Primary Care)
128 W MAIN ST
PURCELL, OK 73080
Nurse Practitioner (Gerontology)
128 W MAIN ST
PURCELL, OK 73080

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 Wellness Clinic And Medical Spa LLC's NPI number?

The NPI number for Wellness Clinic And Medical Spa LLC is 1851717797. It was assigned to this organization in the NPPES registry on March 17, 2014.

Where is Wellness Clinic And Medical Spa LLC located?

Wellness Clinic And Medical Spa LLC is located at 128 W Main St, Purcell, OK 73080. The listed phone number is (405) 527-4704.

What is Wellness Clinic And Medical Spa 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 Wellness Clinic And Medical Spa LLC was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.