NPI 1740137413

Extivita Healthcare PLLC

Organisation Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Durham, NC

Practice location

Address: 2012 Tw Alexander Drive, Durham, NC 27709
Phone: (919) 354-3775
Fax: (919) 354-3776

Authorised official

Name: Wes Edwards
Title: Ceo
Phone: (336) 681-4319

Registered specialties

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0011X

Other Preventive Medicine providers in North Carolina →

Registry record

NPI: 1740137413
Entity type: Organization
NPI issued: 12 Mar 2026
Record last updated: 12 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.