Provider Demographics
NPI:1265187306
Name:ROYAL KARTIER BEAUYT SPA HEALTH AND WELLNESS PLLC
Entity type:Organization
Organization Name:ROYAL KARTIER BEAUYT SPA HEALTH AND WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:E
Authorized Official - Last Name:CLARK WARD
Authorized Official - Suffix:
Authorized Official - Credentials:DNP FNP-BC
Authorized Official - Phone:980-299-9991
Mailing Address - Street 1:4410 MINT HILL VILLAGE LN STE 201
Mailing Address - Street 2:
Mailing Address - City:MINT HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28227-0528
Mailing Address - Country:US
Mailing Address - Phone:980-299-9991
Mailing Address - Fax:
Practice Address - Street 1:4410 MINT HILL VILLAGE LN STE 201
Practice Address - Street 2:
Practice Address - City:MINT HILL
Practice Address - State:NC
Practice Address - Zip Code:28227-0528
Practice Address - Country:US
Practice Address - Phone:980-299-9991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Multi-Specialty
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity HealthGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty