| Carolina Behavioral Health And Wellness, Pllc | |
|
101 Bandon Dr New Bern NC 28562-2300 | |
| (919) 522-7351 | |
| Not Available |
| Full Name | Carolina Behavioral Health And Wellness, Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 101 Bandon Dr, New Bern, North Carolina |
| Authorized Official Name and Position | Kizzy H Petersen (PRESIDENT) |
| Authorized Official Contact | 9195227351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Behavioral Health And Wellness, Pllc 101 Bandon Dr New Bern NC 28562-2300 Ph: (919) 522-7351 | Carolina Behavioral Health And Wellness, Pllc 101 Bandon Dr New Bern NC 28562-2300 Ph: (919) 522-7351 |
| NPI Number | 1285236760 |
|---|---|
| Provider Enumeration Date | 11/10/2020 |
| Last Update Date | 11/10/2020 |
| Certification Date | 11/10/2020 |
| Medicare PECOS PAC ID | 3779997630 |
|---|---|
| Medicare Enrollment ID | O20210204001360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285236760 | NPI | - | NPPES |
| Provider Name | Kizzy Hargett Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457732414 PECOS PAC ID: 4880994706 Enrollment ID: I20151130000043 |
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