Michael Wayne Beres is a Family in Elkin, North Carolina. Michael Wayne Beres practices all healthcare services and medical treatments related to Family. The NPI Number for Michael Wayne Beres is 1275504185. The last update date is 2007-07-08.
Michael Wayne Beres's current location address is 400 Johnson Ridge Medical Park, Elkin, North Carolina. You can contact this provider via phone number 3365264500. The mailing address for Michael Wayne Beres is 400 Johnson Ridge Medical Park, Elkin, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michael Wayne Beres |
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Address | 400 Johnson Ridge Medical Park, Elkin, North Carolina |
Phone Number | 3365264500 |
Fax Number | |
Sole Proprietor | N |
Credentials | FNP |
NPI Number Detail
NPI Number | 1275504185 |
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Provider Enumeration Date | 2006-01-30 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 400 Johnson Ridge Medical Park |
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City | Elkin |
State | North Carolina (NC) |
Post Code | 286212447 |
Phone Number | 3365264500 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | 201050 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
7003692 | NC | -- |
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What is the Michael Wayne Beres's 1275504185?
The Michael Wayne Beres's NPI (National Provider Identifier) Number is 1275504185. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Michael Wayne Beres?
The Michael Wayne Beres is physically situated at 400 Johnson Ridge Medical Park, in the city of Elkin, state of NC, with the postal code 286212447.
What is the Michael Wayne Beres's area of specialization and corresponding taxonomy classification?
The Michael Wayne Beres's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date was the 1275504185 assigned to Michael Wayne Beres?
The Michael Wayne Beres was issued its 1275504185 on 2006-01-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Michael Wayne Beres last refreshed?
The information related to the Michael Wayne Beres, including its address, specialty, and other relevant details, was last updated on 2007-07-08.