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NPI Code Detail

MEDICARE: ANGELS OF MERCY HEALTH & WELLNESS CENTER

MEDICARE: ANGELS OF MERCY HEALTH & WELLNESS CENTER
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 : 1760313324
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANGELS OF MERCY HEALTH & WELLNESS CENTER
Provider Business Mailing Address
First Line : 4030 WAKE FOREST RD STE 349
Second Line :
City : RALEIGH
State : NC
Zip : 27609-0010
Country : US
Telephone Number : 984-321-8458
Fax Number :
Provider Business Practice Location Address
First Line : 4030 WAKE FOREST RD STE 349
Second Line :
City : RALEIGH
State : NC
Zip : 27609-0010
Country : US
Telephone Number : 984-321-8458
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LUCIANA STEWART
Credential : FNP
Telephone Number : 984-321-8458
Provider Enumeration Date : 05/25/2026
Last Update Date : 05/25/2026

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Directions to “ANGELS OF MERCY HEALTH & WELLNESS CENTER ” Practice Location

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