Organization
INTEGRATED PSYCHOGENIC WELLNESS ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVANNA BURKETT RN, FNP-C, DNP (NURSE PRACTITIONER)
(336) 736-1452
Entity
Organization
Contact information
Practice address
1205 W BESSEMER AVE # 1213, GREENSBORO, NC 27408-8442
(336) 736-1452
Mailing address
2672 SPLITBROOK DR, HIGH POINT, NC 27265-7980
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
210912
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255504742
—
NC
Enumeration date
05/15/2018
Last updated
05/15/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us