Organization · Type 2 NPI

Prodigy Health and Wellness PLLC

Primary Care Nurse Practitioner · Raleigh, NC

NPI number 1740061886 Active

Practice location

4000 Wake Forest Rd
Raleigh, NC 27609-6879

Mailing address

PO Box 376
Knightdale, NC 27545-0376

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XNone listed

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1740061886

Prodigy Health and Wellness PLLC's National Provider Identifier is 1740061886, issued on Oct 12, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Raleigh, NC. The record was last updated on Oct 12, 2023.