Prosper Healthcare And Consulting Pllc | |
4000 Ossi Ct Ste 171 High Point NC 27265-8828 | |
(336) 698-3157 | |
(336) 698-3489 |
Full Name | Prosper Healthcare And Consulting Pllc |
---|---|
Speciality | Nurse Practitioner |
Location | 4000 Ossi Ct Ste 171, High Point, North Carolina |
Authorized Official Name and Position | Kristina Roberson (OWNER) |
Authorized Official Contact | 3368073453 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Prosper Healthcare And Consulting Pllc 3980 Premier Dr Ste 110-1018 High Point NC 27265-8408 Ph: (336) 698-3157 | Prosper Healthcare And Consulting Pllc 4000 Ossi Ct Ste 171 High Point NC 27265-8828 Ph: (336) 698-3157 |
NPI Number | 1033801980 |
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Provider Enumeration Date | 05/22/2023 |
Last Update Date | 10/12/2024 |
Certification Date | 10/12/2024 |
Medicare PECOS PAC ID | 0446699383 |
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Medicare Enrollment ID | O20240411003727 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033801980 | NPI | - | NPPES |
Provider Name | Kristina M Roberson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750410338 PECOS PAC ID: 4981856838 Enrollment ID: I20121129000104 |
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