is a Nurse Practitioner in Mount Airy, North Carolina. practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for is 1457561987. The last update date is .
's current location address is Po Box 1267, Mount Airy, North Carolina. You can contact this provider via phone number 3367864522 and fax number 3367863752. The mailing address for is Po Box 1267, Mount Airy, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | Po Box 1267, Mount Airy, North Carolina |
| Phone Number | 3367864522 |
| Fax Number | 3367863752 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1457561987 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | Po Box 1267 |
|---|---|
| City | Mount Airy |
| State | North Carolina (NC) |
| Post Code | 270301267 |
| Phone Number | 3367864522 |
| Fax Number | 3367863752 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 5004297 |
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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 |
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