Organization · Type 2 NPI

Administration of Veterans Affair

Nurse Practitioner · Fayetteville, NC

NPI number 1154038875 Active

Practice location

7300 S Raeford Rd
Fayetteville, NC 28304-6162

Fax (910) 482-5281

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1154038875

Administration of Veterans Affair's National Provider Identifier is 1154038875, issued on Nov 2, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fayetteville, NC. The record was last updated on Nov 2, 2022.