WELLLIFE PRIMARY CARE NPI 1316292907

NPI Information

  • NPI: 1316292907
  • Provider Name: WELLLIFE PRIMARY CARE
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 211 E SIX FORKS RD
    SUITE 122
    RALEIGH, NC
    ZIP 27609
  • Phone: (919) 829-1315

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NPI Details

WELLLIFE PRIMARY CARE is a primary care clinic center in Raleigh, NC. WELLLIFE PRIMARY CARE NPI is 1316292907. The provider is registered as an organization entity type.

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 7/19/2012 and was last updated on 7/19/2012.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care136549NORTH CAROLINAYes

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: 3/30/2025

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