Drew Lewis Nutter, CPO
Prosthetist in Monroe, NC. Individual provider (NPI-1).
NPI number1164035952
StatusActive
Last updated in NPPESSep 11, 2020
Details
- NPI
- 1164035952
- Entity type
- Individual (NPI-1)
- Name
- Drew Lewis Nutter
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2020
- Certification date
- Sep 11, 2020
- Last updated
- Sep 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224P00000X | Prosthetist | CPO03960 | NC | Yes |
| 222Z00000X | CPO03960 | NC | ||
| 222Z00000X | 175127 | KY | ||
| 224P00000X | Prosthetist | 175127 | KY |
Practice location
1420 Ellen StMonroe, NC 28112-5173
Phone 704-635-7029 · Fax 704-635-7495
Mailing address
208 Normandy CtNicholasville, KY 40356-9169
Phone 859-241-1015 · Fax 859-241-3575
Other practice locations
3816 Latrobe Dr Ste 103
Charlotte, NC 28211-1167
Charlotte, NC 28211-1167
Phone 704-247-4134 · Fax 704-257-8001
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