Organization · Type 2 NPI
Yanceyville Primary Care PA
Primary Care Nurse Practitioner · Yanceyville, NC
NPI number
1699830711
Active
Practice location
1499 Main Street
Yanceyville, NC 27379
Fax (336) 694-1266
Mailing address
PO Box 608
Yanceyville, NC 27379-0608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1699830711
Yanceyville Primary Care PA's National Provider Identifier is 1699830711, issued on Dec 27, 2006. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Yanceyville, NC. The record was last updated on Jul 13, 2011.