Affinity Wellness And Health, PLLC
Nurse Practitioner, Family in Pembroke, NC. Organization (NPI-2).
NPI number1972209336
StatusActive
Last updated in NPPESNov 6, 2024
Details
- NPI
- 1972209336
- Entity type
- Organization (NPI-2)
- Legal business name
- Affinity Wellness And Health, PLLC
- Organization subpart
- No
- Enumeration date
- Feb 6, 2023
- Certification date
- Nov 6, 2024
- Last updated
- Nov 6, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – |
Other names
- Affinity Wellness And Health, PLLC (Doing Business As)
Practice location
799 James Lynn DrPembroke, NC 28372-7155
Phone 910-536-4667
Mailing address
799 James Lynn DrPembroke, NC 28372-7155
Phone 910-536-4667
Authorized official
Felicia Britt
Owner
9105364667
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