LIFE MOBILE WELLNESS NPI 1578240008

NPI Information

NPI: 1578240008
Provider Name: LIFE MOBILE WELLNESS
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 34D2283511

Address:
219 W MAIN AVE UNIT 8
GASTONIA, NC
ZIP 28052
Phone: (980) 246-1342
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LIFE MOBILE WELLNESS is a family nurse practitioner in Gastonia, NC. LIFE MOBILE WELLNESS NPI is 1578240008. The provider is registered as an organization entity type.

The provider's business location address is:

219 W MAIN AVE UNIT 8
GASTONIA, NC
ZIP 28052-140
Phone: (980) 246-1342

The provider's authorized official is Lavare Seltun .
The authorized official title is Fnp and has the following contact phone number (980) 246-1342.

The CLIA number assigned to this NPI record is 34D2283511 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2023 and was last updated on 11/12/2023.

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	261QH0100X	Clinic/Center	Health Service	No
2	363LP2300X	Nurse Practitioner	Primary Care	No
3	363LF0000X	Nurse Practitioner	Family	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: 5/5/2024

NPI Synchronization or Removal

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