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

Upstream Health & Wellness, LLC

Organization Family Nurse Practitioner · NPI 1174082523

Upstream Health & Wellness, LLC is a Family Nurse Practitioner in Portage, Indiana. Registered with an NPI since 2019.

In the registry since
2019
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

3207 Willowcreek Rd Ste A
Portage, IN 46368-5013
Phone: (219) 763-3636
Fax: (219) 764-2479
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1174082523
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robin Anderson — Owner · (219) 763-3636
NPI enumeratedMarch 15, 2019
Last updated in NPPESMarch 10, 2021
Certification dateMarch 10, 2021
Mailing address3207 Willowcreek Rd Ste A, Portage, IN 46368-5013

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