Mary Kay Tucker in Winston Salem - Pediatrics

Mary Kay Tucker - NPI 1346223047

Mary Kay Tucker is a Pediatrics in Winston Salem, North Carolina. Mary Kay Tucker practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mary Kay Tucker is 1346223047. The last update date is 2007-07-08.

Mary Kay Tucker's current location address is 211 Ivystone Ct, Winston Salem, North Carolina. You can contact this provider via phone number 3366590558. The mailing address for Mary Kay Tucker is 211 Ivystone Ct, Winston Salem, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Kay Tucker
Address 211 Ivystone Ct, Winston Salem, North Carolina
Phone Number 3366590558
Fax Number
Sole Proprietor X
Credentials RN BSN MPH

NPI Number Detail

NPI Number 1346223047
Provider Enumeration Date 2005-11-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 211 Ivystone Ct
City Winston Salem
State North Carolina (NC)
Post Code 271045050
Phone Number 3366590558
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No 73417
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

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FAQs about Mary Kay Tucker

What is the unique identifier code issued to Mary Kay Tucker by the Centers for Medicare & Medicaid Services (CMS)?

The Mary Kay Tucker has been assigned the NPI (National Provider Identifier) 1346223047. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Mary Kay Tucker's physical address?

The Mary Kay Tucker is physically located at 211 Ivystone Ct, in the city of Winston Salem, NC, with the postal code 271045050.

What is Mary Kay Tucker's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mary Kay Tucker is Pediatrics, and the taxonomy code that categorizes this field of expertise is 363Lp0200X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1346223047 to Mary Kay Tucker?

The Centers for Medicare & Medicaid Services originally issued the 1346223047 to Mary Kay Tucker on 2005-11-28.

As of what date was the information pertaining to Mary Kay Tucker, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mary Kay Tucker, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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