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NPI Profile for FENIX HOLISTIC PLLC in LINDEN, NC.
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Addiction Medicine |
2083A0300X | 84 | Physician/Preventive Medicine | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Nutrition, Education |
133NN1002X |
| NPI # | 1316565260 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/08/2020 | |
| Last updated | 07/08/2020 - About 6 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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FENIX HOLISTIC, PLLC
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FENIX HOLISTIC, PLLC