Longevity Clinical Ltc Associates Of North Carolina PLLC
Nurse Practitioner, Primary Care in Salisbury, NC. Organization (NPI-2).
NPI number1154907855
StatusActive
Last updated in NPPESMar 23, 2021
Details
- NPI
- 1154907855
- Entity type
- Organization (NPI-2)
- Legal business name
- Longevity Clinical Ltc Associates Of North Carolina PLLC
- Organization subpart
- No
- Enumeration date
- Mar 23, 2021
- Certification date
- Mar 18, 2021
- Last updated
- Mar 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 207QG0300X | Family Medicine, Geriatric Medicine | – | – | |
| 363LG0600X | Nurse Practitioner, Gerontology | – | – |
Practice location
635 Statesville BlvdSalisbury, NC 28144-2201
Phone 704-633-7390
Mailing address
11770 Us 1 Ste 101Palm Beach Gardens, FL 33408-3000
Phone 561-444-0710
Authorized official
David C Whybrew
Market President, Lhp Oklahoma
9188595334
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Primary Care Nurse Practitioner providers in Salisbury, NC
- Brian L Gaddy, NPNPI 1417573759
- Melissa Notemyer, NPNPI 1710473558
- Tanya Terese Pusey, FNPNPI 1386879385
- Robert Veros, NPNPI 1023685286
All 5 Primary Care Nurse Practitioner providers in Salisbury · All 2,298 providers in Salisbury
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.