Mary Detoma is a Nurse Practitioner in Charlotte, North Carolina. Mary Detoma practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mary Detoma is 1225143761. The last update date is 2007-07-08.
Mary Detoma's current location address is Po Box 751461, Charlotte, North Carolina. You can contact this provider via phone number 8437926200. The mailing address for Mary Detoma is Po Box 751461, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mary Detoma |
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Address | Po Box 751461, Charlotte, North Carolina |
Phone Number | 8437926200 |
Fax Number | |
Sole Proprietor | N |
Credentials | FNP |
NPI Number Detail
NPI Number | 1225143761 |
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Provider Enumeration Date | 2006-08-21 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | Po Box 751461 |
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City | Charlotte |
State | North Carolina (NC) |
Post Code | 282751461 |
Phone Number | 8437926200 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | F245 |
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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NP0226 | SC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mary Detoma?
The Mary Detoma has been issued the NPI (National Provider Identifier) 1225143761 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mary Detoma?
The Mary Detoma is physically situated at Po Box 751461, in the city of Charlotte, state of NC, with the postal code 282751461.
What is Mary Detoma's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Detoma is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1225143761 to Mary Detoma?
The Centers for Medicare & Medicaid Services assigned the 1225143761 to Mary Detoma on 2006-08-21.
When was the information regarding Mary Detoma, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mary Detoma, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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