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Organization

TELEHEALTH WEIGHT LOSS NP, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHELLY YVETTE ALASTI NP (NURSE PRACTITIONER)
(984) 301-8178
Entity
Organization

Contact information

Practice address
10433 LIGON MILL RD, WAKE FOREST, NC 27587-4987
(984) 301-8178
Mailing address
10433 LIGON MILL RD, WAKE FOREST, NC 27587-4987

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary

Other

Enumeration date
11/13/2023
Last updated
12/04/2023
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