Wellvana LLC

Nurse Practitioner · O'Fallon, MO

Organization Active NPI

NPI number 1588451249

Practice location

2930 SSR-K
O'Fallon, MO 63368
Phone
(281) 881-6293

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NPI record

NPI
1588451249
Entity type
Organization (Type 2)
Enumeration date
April 24, 2025
Last updated
April 24, 2025
Certified
April 16, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X — —

Mailing address

405 Kedron Valley Ct
Saint Charles, MO 63304-7635
Phone
(281) 881-6293

Authorized official

Name
Heather Davis, PT
Title
Owner
Phone
(281) 881-6293

About Wellvana LLC

Wellvana LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 2930 SSR-K, O'Fallon, MO 63368. The NPI number 1588451249 was assigned on April 24, 2025 and the record was last updated on April 24, 2025.

The authorized official for this organization is Heather Davis, PT, Owner.

Frequently asked questions

What is the NPI number of Wellvana LLC?

The NPI number is 1588451249.

What is the phone number of Wellvana LLC?

The phone number listed for the practice location is (281) 881-6293.

Where is Wellvana LLC located?

2930 SSR-K, O'Fallon, MO 63368.

What is the taxonomy code for Wellvana LLC?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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