Organization Name: | HEALTH PLUS BY NURSE PRACTITIONERS |
NPI Number: | 1043362890 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLOTTE WATSON CASSELL (CO OWNER) |
Mailing Address: | 835 Hwy 52 North Mount Airy |
State: | NC US |
Postal Code: | 270302763 |
Phone Number: | 3367896503 |
Fax Number: | 3367896687 |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 12/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |