Healthcare Provider Details

I. General information

NPI: 1538072053
Provider Name (Legal Business Name): DEVOTED SENIOR HEALTH & CONSULTATION SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2706 EDENRIDGE DR
HIGH POINT NC
27265-7969
US

IV. Provider business mailing address

2706 EDENRIDGE DR
HIGH POINT NC
27265-7969
US

V. Phone/Fax

Practice location:
  • Phone: 336-740-9076
  • Fax: 336-740-9076
Mailing address:
  • Phone: 336-740-9076
  • Fax: 336-740-9076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MIA SAULTER
Title or Position: OWNER
Credential: AGNP
Phone: 336-740-9076