Organization · Type 2 NPI

Bella Vita Wellness LLC

Primary Care Nurse Practitioner · Pawleys Island, SC

NPI number 1972456424 Active

Practice location

235 Commerce Dr Unit 301
Pawleys Island, SC 29585-6178

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center 261Q00000XNone listed
Community Health Clinic/Center 261QC1500XNone listed
Corporate Health Clinic/Center 261QC1800XNone listed
Health Service Clinic/Center 261QH0100XNone listed
Migrant Health Clinic/Center 261QM1000XNone listed
Primary Care Clinic/Center 261QP2300XNone listed
Rural Health Clinic/Center 261QR1300XNone listed
Gerontology Nurse Practitioner 363LG0600XNone listed
Primary Care Nurse Practitioner Primary 363LP2300XNone listed

Primary Care Nurse Practitioner: Definition to come...

About NPI 1972456424

Bella Vita Wellness LLC's National Provider Identifier is 1972456424, issued on Feb 16, 2026. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Pawleys Island, SC. The record was last updated on Feb 16, 2026.