OrganizationActive
Innovative Health & Well Being, LLC
NPI 1104600063 · Integrative Medicine Physician · Providence, RI
Provider details
- NPI number
- 1104600063
- Entity type
- Organization
- Primary specialty
- Integrative Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nancy Roy, Member(774) 200-7579
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
501 Angell St # 201
Providence, RI 02906-4467
Phone: (774) 200-7579
Approximate (ZIP-level) locationGet directions
Mailing address
28 Rochambeau Ave Unit 2
Providence, RI 02906-1908
Registry dates
- Enumerated
- 2023-08-22
- Last updated
- 2023-09-27
- Certified
- 2023-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.