MEDICARE: RESTORATIVE WELLNESS CONCIERGE, 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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1427913201
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESTORATIVE WELLNESS CONCIERGE, PLLC

Provider Business Mailing Address
First Line	:	4819 EMPEROR BLVD STE 400
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27703-5420
Country	:	US
Telephone Number	:	301-378-4637
Fax Number	:

Provider Business Practice Location Address
First Line	:	4819 EMPEROR BLVD STE 400
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27703-5420
Country	:	US
Telephone Number	:	301-378-4637
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	MS. VERONICA DENISE MORTON
Credential	:	MSN, APRN, PMHNP-BC
Telephone Number	:	301-378-4637

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	12/23/2025

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