Organization
LIVE WELL PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DATANYA YVETTS BETTS FNP (CEO)
(919) 803-4188
Entity
Organization
Contact information
Practice address
4064 BARRETT DR UNIT 9A, RALEIGH, NC 27609-6604
(919) 803-4188
Mailing address
4064 BARRETT DR UNIT 9A, RALEIGH, NC 27609-6604
(919) 803-4188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5006305
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639501539
—
NC
Enumeration date
10/02/2017
Last updated
07/01/2025
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