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

Wellness Fundamentals Inc

Organization Family Nurse Practitioner · NPI 1396312948

Wellness Fundamentals Inc is a Family Nurse Practitioner in Bronx, New York. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 Alcott Pl Apt 4K
Bronx, NY 10475-4153
Phone: (917) 346-1806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1469 Astor Ave Fl 1, Bronx, NY 10469-5846 — (917) 346-1806

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1396312948
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lorraine Jaysura — Officer · (917) 346-1806
NPI enumeratedJune 10, 2021
Last updated in NPPESJune 10, 2021
Certification dateJune 10, 2021
Mailing addressPo Box 651, Bronx, NY 10475-0651

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