Integrated Family Wellness Center, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R25188 Issued in NM

Legal business name

INTEGRATED FAMILY WELLNESS CENTER, LLC

Practice address

8300 San Pedro Dr NE
Albuquerque, NM 87113-1703

Phone

(505) 293-1658

Fax

(505) 298-4737

NPI assigned

Aug 24, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Philomena E Marcus, CFNP

Title

Owner

Phone

(505) 293-1658

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1184904054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 SAN PEDRO DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131703",
            "telephone_number": "505-293-1658",
            "fax_number": "505-298-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 SAN PEDRO DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131703",
            "telephone_number": "505-293-1658",
            "fax_number": "505-298-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED FAMILY WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "PHILOMENA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-293-1658",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R25188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94108897",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inspiring Wellness Counseling and Holistic Health Center
• Integrate Wellness Center LLC
• Integrated Care Physicians PLLC
• Integrated Concepts
• Integrated Concepts, Inc
• Integrated Healthcare of New Mexico
• Integrated Wellness
• Integrated Wellness
• Integrative Counseling & Psychotherapy Services, LLC
• Integrative Elements NM

• Family Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.