Healthcare Provider Details
I. General information
NPI: 1649890450
Provider Name (Legal Business Name): EQUITY HEALTH SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/22/2020
Last Update Date: 08/08/2023
Certification Date: 08/08/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
275 N NC 16 BUSINESS HWY STE 104
DENVER NC
28037-3002
US
IV. Provider business mailing address
7892 LAKEVIEW DR
DENVER NC
28037-8243
US
V. Phone/Fax
- Phone: 704-489-3440
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHELLE
BENDER
SCHMERGE
Title or Position: CEO
Credential: ANP-BC
Phone: 704-340-5852