| Nutrans Health Llc | |
|
123 Sunnybrook Rd Ste 140 Raleigh NC 27610-2784 | |
| (919) 322-0138 | |
| (919) 882-1252 |
| Full Name | Nutrans Health Llc |
|---|---|
| Speciality | Counselor |
| Location | 123 Sunnybrook Rd Ste 140, Raleigh, North Carolina |
| Authorized Official Name and Position | Raja Mehran Hameed (OWNER) |
| Authorized Official Contact | 2065905767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nutrans Health Llc 123 Sunnybrook Rd Ste 140 Raleigh NC 27610-2784 Ph: (919) 322-0138 | Nutrans Health Llc 123 Sunnybrook Rd Ste 140 Raleigh NC 27610-2784 Ph: (919) 322-0138 |
| NPI Number | 1962101287 |
|---|---|
| Provider Enumeration Date | 02/24/2023 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/13/2024 |
| Medicare PECOS PAC ID | 2668828641 |
|---|---|
| Medicare Enrollment ID | O20231026003995 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962101287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Shirley C Carrenard-mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972860930 PECOS PAC ID: 8123312956 Enrollment ID: I20170830004008 |
| Provider Name | Natashia Shelley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497158661 PECOS PAC ID: 9638519366 Enrollment ID: I20240429002888 |
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