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Contact Information

FENIX HOLISTIC, PLLC
20 FARROW CT
LINDEN, NC28356-1007
 Phone: 910-600-9488
 Fax: 307-419-2656
 Website:
 

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
Indicates primary specialty

NPI Profile & details for FENIX HOLISTIC, PLLC

NPI Number 1316565260
LBN Legal business name FENIX HOLISTIC, PLLC
Authorized official RON'NISHA BALDWIN - (NP)
Entity Organization
Organization subpart 1 No
Enumeration date 07/08/2020
Last updated 07/08/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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