Provider Demographics
NPI:1124787049
Name:RESTORING WELLNESS SOLUTIONS PLLC
Entity type:Organization
Organization Name:RESTORING WELLNESS SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PLUMMER-ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:336-908-5299
Mailing Address - Street 1:200 CHARLOIS BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-1580
Mailing Address - Country:US
Mailing Address - Phone:336-800-3955
Mailing Address - Fax:
Practice Address - Street 1:200 CHARLOIS BLVD STE 500
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-1580
Practice Address - Country:US
Practice Address - Phone:336-800-3955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-08
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty