Organization · Type 2 NPI
Planned Parenthood South Atlantic
Women's Health Nurse Practitioner · Fayetteville, NC
NPI number
1174955249
Active
Practice location
4551 Yadkin Rd
Fayetteville, NC 28303-3421
Fax (910) 401-0845
Mailing address
100 South Boylan Avenue
Raleigh, NC 27603-1802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Family Planning Facility | 261QA0005X | None listed |
| Non-Pharmacy Dispensing Site | 332900000X | 10340 (NC) |
| Women's Health Nurse Practitioner Primary | 363LW0102X | None listed |
Women's Health Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1174955249
Planned Parenthood South Atlantic's National Provider Identifier is 1174955249, issued on Jul 31, 2013. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Fayetteville, NC. The record was last updated on Aug 25, 2025.