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PATIENT CENTERED CARE PLLC NPI 1174714034


NPI Information

NPI: 1174714034
Provider Name: PATIENT CENTERED CARE, PLLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

CLIA Number: 34D1072042

Address:
3803 PEACHTREE AVE
WILMINGTON, NC
ZIP 28403
Phone: (910) 799-6262
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PATIENT CENTERED CARE, PLLC is an adult health nurse practitioner in Wilmington, NC. PATIENT CENTERED CARE, PLLC NPI is 1174714034. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3803 PEACHTREE AVE
WILMINGTON, NC
ZIP 28403-727
Phone: (910) 799-6262
Fax: (910) 799-6261

The provider's authorized official is Heather M Wingate .
The authorized official title is Office Manager and has the following contact phone number (910) 799-6262.

The CLIA number assigned to this NPI record is 34D1072042 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/6/2007 and was last updated on 1/11/2017.


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
1363LA2200XNurse PractitionerAdult Health900335NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12809647 NCMEDICAIDNORTH CAROLINA
22809647AMEDICARE PINNORTH CAROLINA
37006560MEDICAIDNORTH CAROLINA
4P98405 NCMEDICARE UPINNORTH CAROLINA
57004817MEDICAIDNORTH CAROLINA
6G26850MEDICARE UPIN
77004182MEDICAIDNORTH CAROLINA
82592978BMEDICARE PINNORTH CAROLINA
9232134MEDICARE PINNORTH CAROLINA

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: 4/28/2024

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