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Organization
SG INTEGRATIVE PSYCHIATRY AND WELLNESS PLLC
Active
Organization
SG INTEGRATIVE PSYCHIATRY AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NKEM O NKWONTA PMHNP (FOUNDER)
(919) 214-2390
Entity
Organization
Contact information
Practice address
100 N HOWARD ST STE W, SPOKANE, WA 99201-0508
(509) 218-2210
Mailing address
PO BOX 14123, DURHAM, NC 27709-4123
(509) 218-2210
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
06/01/2023
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