LIFE MOBILE WELLNESS LLC NPI 1578240008

NPI Information

  • NPI: 1578240008
  • Provider Name: LIFE MOBILE WELLNESS, LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 4324 STONE MOUNTAIN DRIVE
    GASTONIA, NC
    ZIP 28054
  • Phone: (984) 279-0776

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NPI Details

LIFE MOBILE WELLNESS, LLC is a family nurse practitioner in Gastonia, NC. LIFE MOBILE WELLNESS, LLC NPI is 1578240008. The provider is registered as an organization entity type.

The provider's business location address is:

4324 STONE MOUNTAIN DRIVE
GASTONIA, NC
ZIP 28054
Phone: (984) 279-0776

The provider's authorized official is Lavare Seltun .
The authorized official title is Manager and has the following contact phone number (980) 745-2195.

The enumeration date for this NPI number is 6/27/2023 and was last updated on 8/27/2024.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceNo
2363LF0000XNurse PractitionerFamilyYes
3363LP2300XNurse PractitionerPrimary CareNo

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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