Organization
FENIX HOLISTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON'NISHA D BALDWIN NP (NP)
(910) 918-0633
Entity
Organization
Contact information
Practice address
20 FARROW CT, LINDEN, NC 28356-1007
(910) 600-9488
(307) 419-2656
Mailing address
20 FARROW CT, LINDEN, NC 28356-1007
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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