WELLLIFE PRIMARY CARE NPI 1336401058

NPI Information

WELLLIFE PRIMARY CARE is an adult health nurse practitioner in Raleigh, NC. WELLLIFE PRIMARY CARE NPI is 1336401058. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

211 E SIX FORKS RD
SUITE 122
RALEIGH, NC
ZIP 27609-745
Phone: (919) 829-1315

The provider's authorized official is Dwan Kelsey .
The authorized official title is Owner and has the following contact phone number (919) 829-1315.

The enumeration date for this NPI number is 6/8/2012 and was last updated on 6/8/2012.

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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