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Contact Information

EXTIVITA HEALTHCARE PLLC
2012 TW ALEXANDER DRIVE
DURHAM, NC27709
 Phone: 919-354-3775
 Fax: 919-354-3776
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for EXTIVITA HEALTHCARE PLLC · (Female)

NPI Number 1740137413
Status Active
Credentials
Entity Individual
Enumeration date 03/12/2026
Last updated 03/12/2026 - About 3 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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