Organization
BESPOKE RN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANITA MCKOY RN- BSN (CO- FOUNDER/NURSE)
(910) 228-1215
Entity
Organization
Contact information
Practice address
234 LACEWING DR, CHARLOTTE, NC 28214-0168
(910) 228-1215
Mailing address
234 LACEWING DR, CHARLOTTE, NC 28214-0168
(910) 228-1215
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
—
—
163WH0200X
Home Health Registered Nurse
—
—
163WI0500X
Infusion Therapy Registered Nurse
—
—
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
163WP0000X
Pain Management Registered Nurse
—
—
163WS0121X
Plastic Surgery Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
—
—
163WX0800X
Orthopedic Registered Nurse
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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