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NUTRADRIP IV HYDRATION & WELLNESS CLINIC PLLC NPI 1013669654


NPI Information

NPI: 1013669654
Provider Name: NUTRADRIP IV HYDRATION & WELLNESS CLINIC, PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 34D2235520

Address:
4049 CAPITAL DR
ROCKY MOUNT, NC
ZIP 27804
Phone: (252) 443-3550
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NUTRADRIP IV HYDRATION & WELLNESS CLINIC, PLLC is a family nurse practitioner in Rocky Mount, NC. NUTRADRIP IV HYDRATION & WELLNESS CLINIC, PLLC NPI is 1013669654. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4049 CAPITAL DR
ROCKY MOUNT, NC
ZIP 27804-123
Phone: (252) 443-3550
Fax: (252) 443-3590

The provider's authorized official is Latoya Mccurdy .
The authorized official title is Ceo/ President and has the following contact phone number (252) 314-7087.

The CLIA number assigned to this NPI record is 34D2235520 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2022 and was last updated on 2/2/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

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: 5/5/2024

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