PREMIUM WELLNESS AND PRIMARY CARE NPI 1336599547

NPI Information

PREMIUM WELLNESS AND PRIMARY CARE is a primary care nurse practitioner in Greensboro, NC. PREMIUM WELLNESS AND PRIMARY CARE NPI is 1336599547. The provider is registered as an organization entity type.

The provider's business location address is:

4002 SPRING GARDEN ST
SUITE C
GREENSBORO, NC
ZIP 27407-683
Phone: (336) 553-0793

The provider's authorized official is Monica Dianne Zellous .
The authorized official title is Practice Manager and has the following contact phone number (336) 553-0793.

The CLIA number assigned to this NPI record is 34D2120159 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2016 and was last updated on 4/4/2024.

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:

Other Identifiers

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

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.