Organization Name: | RPJ CONNECTIONS, PLLC |
NPI Number: | 1104183110 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANNE F LAKE (FOUNDER AND MANAGING DIRECTOR, APN) |
Mailing Address: | 6447 Muddy Creek Rd Archdale |
State: | NC US |
Postal Code: | 272633925 |
Phone Number: | 3364716109 |
Fax Number: | 3368890752 |
NPI Enumeration Date: | 04/13/2012 |
NPI Last Update Date: | 04/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 201480 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |