HER SECRET NPI 1316603954

NPI Information

HER SECRET is a point of service in Charlotte, NC. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. HER SECRET NPI is 1316603954. The provider is registered as an organization entity type.

The provider's business location address is:

14111 LAKE CROSSING DR
CHARLOTTE, NC
ZIP 28278-661
Phone: (704) 617-5073

The provider's authorized official is Ryean Lee .
The authorized official title is Owner and has the following contact phone number (704) 617-5073.

The enumeration date for this NPI number is 11/9/2021 and was last updated on 11/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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