| Ireveal Health, Pllc | |
|
2315 W Arbors Dr Ste 3 Charlotte NC 28262-2577 | |
| (704) 751-9077 | |
| Not Available |
| Full Name | Ireveal Health, Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2315 W Arbors Dr Ste 3, Charlotte, North Carolina |
| Authorized Official Name and Position | Rita Agunobi (CEO) |
| Authorized Official Contact | 7049180587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ireveal Health, Pllc 2315 W Arbors Dr Ste 3 Charlotte NC 28262-2577 Ph: (704) 751-9077 | Ireveal Health, Pllc 2315 W Arbors Dr Ste 3 Charlotte NC 28262-2577 Ph: (704) 751-9077 |
| NPI Number | 1972272045 |
|---|---|
| Provider Enumeration Date | 09/10/2021 |
| Last Update Date | 08/11/2022 |
| Certification Date | 08/11/2022 |
| Medicare PECOS PAC ID | 8921490491 |
|---|---|
| Medicare Enrollment ID | O20220112001742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972272045 | NPI | - | NPPES |
| Provider Name | Rita Nkem Agunobi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205374865 PECOS PAC ID: 6608131602 Enrollment ID: I20180522001698 |
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