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NPI Code Detail

MEDICARE: SOMI HEALTH PLLC

MEDICARE: SOMI HEALTH PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1124897533
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOMI HEALTH PLLC
Provider Business Mailing Address
First Line : 3500 STONEHAVEN DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28215-3232
Country : US
Telephone Number : 980-226-8360
Fax Number :
Provider Business Practice Location Address
First Line : 4111 ROSE LAKE DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28217-2829
Country : US
Telephone Number : 704-807-0914
Fax Number :
Authorized Official
Title or Position : COO
Name : VANESSA THOMAS
Credential :
Telephone Number : 704-807-0914
Provider Enumeration Date : 12/27/2023
Last Update Date : 05/28/2025

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Directions to “SOMI HEALTH PLLC ” Practice Location

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