Doctor Name: | MISTY SETZER CLINE |
NPI Number: | 1043614670 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 5007259 |
Business Practice Address: | 112 Oak St Cherryville, NC - 280213423 |
Business Phone Number: | 9804872200 |
Business Fax Number: | 7044353295 |
Mailing Address: | Po Box 601884, CHARLOTTE |
State: | NC |
Postal Code: | 282601884 |
Phone Number: | 9804872200 |
Fax Number: | 7044353295 |
NPI Enumeration Date: | 10/10/2014 |
NPI Last Update Date: | 01/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | 5007259 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |