ELITE RENEWCARE LLC NPI 1033814959

NPI Information

  • NPI: 1033814959
  • Provider Name: ELITE RENEWCARE, LLC
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Organization
  • Address: 4111E ROSE LAKE DR # 4827
    CHARLOTTE, NC
    ZIP 28217
  • Phone: (315) 489-5440

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NPI Details

ELITE RENEWCARE, LLC is an adult health nurse practitioner in Charlotte, NC. ELITE RENEWCARE, LLC NPI is 1033814959. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4111E ROSE LAKE DR # 4827
CHARLOTTE, NC
ZIP 28217-858
Phone: (315) 489-5440

The provider's authorized official is Ana Roselia Santos-burks .
The authorized official title is Nurse Practitioner and has the following contact phone number (315) 489-5440.

The enumeration date for this NPI number is 3/31/2023 and was last updated on 3/31/2023.

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
1363LA2200XNurse PractitionerAdult HealthYes

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: 11/21/2025

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