Nourish Adolescent Wellness
LBN: Nourish Adolescent Wellness
Nourish Adolescent Wellness is an health care organization with primary practice located at 307 S Salem St Ste 100 , Apex NC 27502-1845. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is the primary health care specialty.
Nourish Adolescent Wellness can be contacted via phone (919) 627-8771, or through Schaefer, Sara via phone (919) 367-6639.
Contact Information
Primary practice address
307 S Salem St Ste 100
Apex NC 27502-1845
Phone: (919) 627-8771
Fax:
Website:
Authorized official contact:
Name: Schaefer, Sara Certified Pediatric Nurse Practitioner (CPNP)
Phone: (919) 367-6639
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | ||
Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | ||
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X |
Profile Details
NPI number | 1033710637 |
---|---|
LBN Legal business name | Nourish Adolescent Wellness |
DBA Doing business as | |
Authorized official | Schaefer, Sara Certified Pediatric Nurse Practitioner (CPNP) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 2nd, 2020 |
Last updated | Sep 20th, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033710637 | NPPES |
North Carolina | MEDICAID | 1033710637 |
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