Organization · Type 2 NPI

Broadview Health, PA

Psychiatric/Mental Health Nurse Practitioner · Charlotte, NC

NPI number 1316298045 Active

Practice location

17232 Lancaster Hwy
Charlotte, NC 28277-2002

Fax (704) 544-0050

Mailing address

349 Venus St
Monroe, NC 28112-4025

Other practice locations

  • 349 Venus St, Monroe, NC 28112-4025 · (704) 635-7418

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X2009-00832 (NC)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1316298045

Broadview Health, PA's National Provider Identifier is 1316298045, issued on Sep 20, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Charlotte, NC. The record was last updated on Aug 26, 2021.