Provider Type Icon

WILMINGTON HEALTH ACCESS FOR TEENS INC NPI 1841460755


NPI Information

NPI: 1841460755
Provider Name: WILMINGTON HEALTH ACCESS FOR TEENS, INC

Doing Business As: ASHLEY WELLNESS CENTER

Classification: Family Medicine - 207QA0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
4005 OLEANDER DR
WILMINGTON, NC
ZIP 28403
Phone: (910) 790-9949
Get Directions

WILMINGTON HEALTH ACCESS FOR TEENS, INC is an adolescent medicine family medicine in Wilmington, NC. The provider is a family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. WILMINGTON HEALTH ACCESS FOR TEENS, INC NPI is 1841460755. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ashley Wellness Center.

The provider's business location address is:

4005 OLEANDER DR
WILMINGTON, NC
ZIP 28403-816
Phone: (910) 790-9949
Fax: (910) 790-9455

The provider's authorized official is Maria G Van De Bovenkamp .
The authorized official title is Director Of Administration and has the following contact phone number (910) 790-9949.

The enumeration date for this NPI number is 3/6/2008 and was last updated on 10/28/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0000XFamily MedicineAdolescent MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.