=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750842597
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LOVING HANDS WELLNESS &PRIMARY CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/26/2019
-----------------------------------------------------
Last Update Date | 03/26/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1006 N ARENDELL AVE STE 300
-----------------------------------------------------
City | ZEBULON
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27597-2353
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-801-6448
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 170 FOREST LAKES RD
-----------------------------------------------------
City | LOUISBURG
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27549-7364
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRIMARY CARE PROVIDER
-----------------------------------------------------
Name | DR. NANA ARKHURST-ARTHUR
-----------------------------------------------------
Credential | DNP
-----------------------------------------------------
Telephone | 252-801-6448
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------