Organization
HAVEN TOTAL WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA PRICE FNP-C (FAMILY NURSE PRACTITIONER/OWNER)
(910) 334-5956
Entity
Organization
Contact information
Practice address
149 WOODLAWN ST SUITE C, WEST END, NC 27376
(910) 400-5272
(833) 908-2332
Mailing address
PO BOX 664, WEST END, NC 27376-0664
(910) 400-5272
(833) 908-2332
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5010622
NP LICENSE NUMBER
NC
Enumeration date
04/27/2020
Last updated
04/27/2020
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