MAGNOLIA HEALTH & WELLNESS NPI 1578192936

NPI Information

NPI: 1578192936
Provider Name: MAGNOLIA HEALTH & WELLNESS
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
211 COMMERCE ST STE C
GREENVILLE, NC
ZIP 27858
Phone: (252) 320-9081
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MAGNOLIA HEALTH & WELLNESS is a primary care nurse practitioner in Greenville, NC. MAGNOLIA HEALTH & WELLNESS NPI is 1578192936. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

211 COMMERCE ST STE C
GREENVILLE, NC
ZIP 27858-030
Phone: (252) 320-9081

The provider's authorized official is Waquia Maultsby .
The authorized official title is Owner/practitioner and has the following contact phone number (252) 320-9081.

The enumeration date for this NPI number is 4/6/2020 and was last updated on 4/9/2020.

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	101YM0800X	Counselor	Mental Health	No
2	101YP2500X	Counselor	Professional	No
3	1041C0700X	Social Worker	Clinical	No
4	106H00000X	Marriage & Family Therapist		No
5	163W00000X	Registered Nurse		No
6	251S00000X	Community/Behavioral Health		No
7	363LF0000X	Nurse Practitioner	Family	No
8	101Y00000X	Counselor		No
9	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
10	363LP2300X	Nurse Practitioner	Primary Care	Yes

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: 11/14/2023

NPI Synchronization or Removal

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