Private Diagnostic Clinic, Pllc in Durham - Nurse Practitioner
Private Diagnostic Clinic, Pllc - NPI 1790941755
Private Diagnostic Clinic, Pllc is a Nurse Practitioner in Durham, North Carolina. Private Diagnostic Clinic, Pllc practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Private Diagnostic Clinic, Pllc is 1790941755. The last update date is 2022-07-11.
Private Diagnostic Clinic, Pllc's current location address is Po Box 110566, Durham, North Carolina. You can contact this provider via phone number 9196204855 and fax number 9196204921. The mailing address for Private Diagnostic Clinic, Pllc is Po Box 110566, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Private Diagnostic Clinic, Pllc |
|---|---|
| Address | Po Box 110566, Durham, North Carolina |
| Phone Number | 9196204855 |
| Fax Number | 9196204921 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Frederick Thomas Christopher |
| Telephone Number | 9196137762 |
NPI Number Detail
| NPI Number | 1790941755 |
|---|---|
| Provider Enumeration Date | 2008-07-30 |
| Last Updated Date | 2022-07-11 |
Provider Mailing Address Detail
| Address | Po Box 110566 |
|---|---|
| City | Durham |
| State | North Carolina (NC) |
| Post Code | 277095566 |
| Phone Number | 9196204855 |
| Fax Number | 9196204921 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
|
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 |
|---|---|---|---|
| 5903564 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Private Diagnostic Clinic, Pllc by the Centers for Medicare & Medicaid Services?
The Private Diagnostic Clinic, Pllc has been assigned the NPI (National Provider Identifier) 1790941755. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Private Diagnostic Clinic, Pllc?
The Private Diagnostic Clinic, Pllc is physically situated at Po Box 110566, in the city of Durham, state of NC, with the postal code 277095566.
What is Private Diagnostic Clinic, Pllc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Private Diagnostic Clinic, Pllc's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
When was the Private Diagnostic Clinic, Pllc's 1790941755 issued?
The Private Diagnostic Clinic, Pllc's 1790941755 was issued on 2008-07-30.
As of what date were the details related to Private Diagnostic Clinic, Pllc most recently updated or revised?
The information pertaining to Private Diagnostic Clinic, Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-11.
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