Organization · Type 2 NPI
Premium Wellness and Primary Care
Primary Care Nurse Practitioner · Greensboro, NC
NPI number
1336599547
Active
Practice location
308 Pomona Dr Ste A
Greensboro, NC 27407-1644
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 5004483 (NC) |
| Health Service Clinic/Center | 261QH0100X | 5006433 (NC) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1336599547
Premium Wellness and Primary Care's National Provider Identifier is 1336599547, issued on Jun 18, 2016. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Greensboro, NC. The record was last updated on Jul 12, 2024.