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Invigoration Health Corp

NPI 1033856307ActiveOrganization· Nurse Practitioner, Psych/Mental Health· Doral, FL

Nurse Practitioner, Psych/Mental Health in Doral, Florida, registered in NPPES in May 2022. The authorized official on file is Stacy Wideman, PMHNP, Ceo/Owner.

Overview

NPI1033856307
StatusActive
Entity typeOrganization
NPI issuedMay 17, 2022
Last updated in NPPESNov 22, 2022
Certified by providerNov 22, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Psych/Mental Health Primary363LP0808X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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