Individual provider · Type 1 NPI

Poonam Rai Gupta, NP

Nurse Practitioner · Mooresville, NC

NPI number 1922464601 Active

Practice location

134 Medical Park Rd, Ste 111 - Adult Cardiology
Mooresville, NC 28117-8526

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

  • 10650 Park Rd, Charlotte, NC 28210-8538 · (704) 667-3840
  • 101 E W T Harris Blvd, Ste 1213, Charlotte, NC 28262-3485 · (704) 863-1950
  • 1350 S Kings Dr, Charlotte, NC 28207-2134 · (704) 446-1255
  • 1237 Harding Pl, Ste 3100, Charlotte, NC 28204 · (704) 373-0212

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X5008287 (NC)
Gerontology Nurse Practitioner 363LG0600X5008287 (NC)
Nurse Practitioner Primary 363L00000X5008287 (NC)

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…

14 other providers at this address

Other nurse practitioner providers in Mooresville

See all in Mooresville →

About NPI 1922464601

Poonam Rai Gupta, NP's National Provider Identifier is 1922464601, issued on Jan 11, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mooresville, NC. The record was last updated on Jul 16, 2024.