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Prodigy Health And Wellness Pllc
Primary Care Nurse Practitioner in Raleigh, North Carolina
NPI 1740061886

Prodigy Health And Wellness Pllc is a Primary Care Nurse Practitioner based in Knightdale, NC and is specialized in Primary Care. Prodigy Health And Wellness Pllc practices in Raleigh, NC. The NPI Number for Prodigy Health And Wellness Pllc is 1740061886 and holds a License No. (North Carolina).

The current practice location address for Prodigy Health And Wellness Pllc is 4000 Wake Forest Rd, Raleigh, NC and can be reached out via phone at 919-793-6483.

Location: 4000 Wake Forest Rd, Raleigh, NC, 27545-0376
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740061886
Provider Name
Prodigy Health And Wellness Pllc
Credential
Provider Entity Type
Organization
Address
4000 Wake Forest Rd, Raleigh, NC, 27545-0376
Phone Number
919-793-6483
Fax Number
Provider Enumeration Date
10/12/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5003510 01 NC FAMILY MEDICINE
institution
Provider Business Practice Location Address Details
Address
4000 Wake Forest Rd
City
Raleigh
State
North Carolina
Zip
27609-6879
Phone Number
919-793-6483
Fax Number
person
Provider Business Mailing Address Details
Address
4000 Wake Forest Rd
City
Raleigh
State
North Carolina
Zip
27609-6879
Phone Number
919-793-6483
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
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Definition
Definition to come...
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