INTEGRATIVE CORE WELLNESS, LLC
NPI 1902784820
Nurse Practitioner - Primary Care in Manchester, CT

Q: What is Integrative Core Wellness, LLC's NPI number?

The NPI number for Integrative Core Wellness, LLC is 1902784820. It was assigned to this organization in the NPPES registry on August 27, 2025.

Q: What is Integrative Core Wellness, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since August 27, 2025

112 SPENCER ST STE 2A, MANCHESTER, CT 06040(860) 797-0163(978) 672-5448 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Integrative Core Wellness, Llc NPPES

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

INTEGRATIVE CORE WELLNESS, LLC (NPI 1902784820) is a healthcare organization registered as a primary care in Manchester, Connecticut and active in the NPI registry since August 2025. The organization lists Vanessa Bolling, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902784820

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameINTEGRATIVE CORE WELLNESS, LLC

Location Address112 SPENCER ST STE 2AManchester, CT 06040-4601

Mailing Address112 Spencer St Ste 2aManchester, CT 06040-4601 · (860) 797-0163 · Fax (978) 672-5448

Phone(860) 797-0163

Fax(978) 672-5448

Organization SubpartNo

Authorized OfficialVanessa BollingCeo · (860) 995-2645

Enumeration DateAugust 27, 2025

NPPES CertifiedAugust 27, 2025

✔ NPI 1902784820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

112 SPENCER ST STE 2A, Manchester, CT 06040

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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 3

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

INNOVATIVE HEALTHCARE OF CONNECTICUT LLC

Nurse Practitioner (Family)

112 SPENCER ST STE 2A
MANCHESTER, CT 06040

Capitol Planning Region (860) 791-8170

CAMYLLE APPIAHENE APRN

Nurse Practitioner (Family)

112 SPENCER ST STE 2A
MANCHESTER, CT 06040

Capitol Planning Region (860) 791-8170

DIABETES INSIGHT AND WEIGHT MANAGEMENT

Nurse Practitioner (Family)

112 SPENCER ST STE 2A
MANCHESTER, CT 06040

Capitol Planning Region (959) 301-9075

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 Integrative Core Wellness, LLC's NPI number?

The NPI number for Integrative Core Wellness, LLC is 1902784820. It was assigned to this organization in the NPPES registry on August 27, 2025.

Where is Integrative Core Wellness, LLC located?

Integrative Core Wellness, LLC is located at 112 Spencer St Ste 2A, Manchester, CT 06040. The listed phone number is (860) 797-0163.

What is Integrative Core Wellness, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Integrative Core Wellness, LLC was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.