MIND & BODY WELLNESS PLLC NPI 1134713159

NPI Information

NPI: 1134713159
Provider Name: MIND & BODY WELLNESS, PLLC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
329 SILVER GROVE CHURCH RD
ROCKINGHAM, NC
ZIP 28379
Phone: (704) 476-9144
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MIND & BODY WELLNESS, PLLC is a primary care nurse practitioner in Rockingham, NC. MIND & BODY WELLNESS, PLLC NPI is 1134713159. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

329 SILVER GROVE CHURCH RD
ROCKINGHAM, NC
ZIP 28379-978
Phone: (704) 476-9144
Fax: (704) 703-9668

The provider's authorized official is Leistey Tindall .
The authorized official title is Owner and has the following contact phone number (704) 476-9144.

The enumeration date for this NPI number is 2/22/2021 and was last updated on 4/29/2022.

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	Primary
1	363LF0000X	Nurse Practitioner	Family	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
3	363LP2300X	Nurse Practitioner	Primary Care	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9032489075	MEDICAID	NORTH CAROLINA

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

NPI Synchronization or Removal

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