Wellvana LLC
Organization Active NPI Nurse Practitioner · O'Fallon, MO
NPI 1588451249 · NPPES record last updated Apr 24, 2025
Key facts
- NPI
- 1588451249
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- Legal business name
- WELLVANA LLC
- Practice address
- 2930 SSR-K
O'Fallon, MO 63368 - Phone
- (281) 881-6293
- NPI assigned
- Apr 24, 2025
- Organization subpart
- No
Authorized official
- Name
- Heather Davis, PT
- Title
- Owner
- Phone
- (281) 881-6293
Practitioners 1
-
Heather Marie Davis, P.T.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | Yes |
Addresses
Primary practice location
2930 SSR-K
O'Fallon, MO 63368
Mailing address
405 Kedron Valley CT
Saint Charles, MO 63304-7635
Phone (281) 881-6293
Other providers in O'Fallon, MO
- Vital Chiropractic LLC
- Charles Andrew Walker
- Washeck Manual Therapy LLC
- Lori Ann Watt
- Aaron Welk
- James Wendell
- Michael L Williams
- Rachael Elizabeth Wilson
- Caitlin Winkler
- Mary Withoelter
All providers in O'Fallon, MO · Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.