Organization
MOTIVATIONAL PRACTITIONER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO MCKELLER (OWNER)
(919) 584-2255
Entity
Organization
Contact information
Practice address
127 ORVIS DR, HOLLY SPRINGS, NC 27540-9681
(919) 584-2255
Mailing address
127 ORVIS DR, HOLLY SPRINGS, NC 27540-9681
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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