PRODIGY HEALTH AND WELLNESS PLLC

RALEIGH, NC
NPI1740061886
Entity TypeOrganization
Authorized ContactLISA P. BLEVINS
Nurse Practitioner
919-793-6483
Organization Subpart ?No
Primary Taxonomy363LP2300X Nurse Practitioner Primary Care
Enumeration Date2023-10-12
Last Update Date2023-10-12
Business Address
PRODIGY HEALTH AND WELLNESS PLLC
4000 WAKE FOREST RD
RALEIGH, NC 27609-6879
Phone number: 919-793-6483
Mailing Address
PRODIGY HEALTH AND WELLNESS PLLC
PO BOX 376
KNIGHTDALE, NC 27545-0376
Phone number: 919-793-6483
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