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PHYSCIANS ELDERCARE NPI 1023061140


NPI Information

NPI: 1023061140
Provider Name: PHYSCIANS ELDERCARE
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

Address:
3880 VEST MILL RD
WINSTON-SALEM, NC
ZIP 27103
Phone: (336) 245-5403
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PHYSCIANS ELDERCARE is a gerontology nurse practitioner in Winston-salem, NC. PHYSCIANS ELDERCARE NPI is 1023061140. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3880 VEST MILL RD
WINSTON-SALEM, NC
ZIP 27103-323
Phone: (336) 245-5403
Fax: (336) 251-1116

The provider's authorized official is Teri Lynne Harmon .
The authorized official title is Provider Specialist Services and has the following contact phone number (336) 245-5403.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LG0600XNurse PractitionerGerontologySTUDENTNORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.