DEPT OF VETERANS AFFAIRS OUTPATIENT CLINIC NPI 1538120910

NPI Information

NPI: 1538120910
Provider Name: DEPT OF VETERANS AFFAIRS OUTPATIENT CLINIC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
190 KIMEL PARK DR
WINSTON-SALEM, NC
ZIP 27103
Phone: (336) 768-7696
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DEPT OF VETERANS AFFAIRS OUTPATIENT CLINIC is an adult health nurse practitioner in Winston-salem, NC. DEPT OF VETERANS AFFAIRS OUTPATIENT CLINIC NPI is 1538120910. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

190 KIMEL PARK DR
WINSTON-SALEM, NC
ZIP 27103-946
Phone: (336) 768-7696

The provider's authorized official is Stephrn Buettle .
The authorized official title is Chief Of Staff and has the following contact phone number (336) 768-3296.

The enumeration date for this NPI number is 3/28/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	600091	NORTH CAROLINA	Yes

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

NPI Synchronization or Removal

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