Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Integrative Core Wellness, LLC

Organization Primary Care Nurse Practitioner · NPI 1902784820

Integrative Core Wellness, LLC is a Primary Care Nurse Practitioner in Manchester, Connecticut. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

112 Spencer St Ste 2A
Manchester, CT 06040-4601
Phone: (860) 797-0163
Fax: (978) 672-5448
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1902784820
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vanessa Bolling — Ceo · (860) 995-2645
NPI enumeratedAugust 27, 2025
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025
Mailing address112 Spencer St Ste 2a, Manchester, CT 06040-4601

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