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 | 174400000X | Specialist | | 5013295 | NORTH CAROLINA | No |
| 2 | 2086S0129X | Surgery | Vascular Surgery | 5013295 | NORTH CAROLINA | No |
| 3 | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | | 5013295 | NORTH CAROLINA | No |
| 4 | 363L00000X | Nurse Practitioner | | 5013295 | NORTH CAROLINA | Yes |
| 5 | 363LA2100X | Nurse Practitioner | Acute Care | 5013295 | NORTH CAROLINA | No |
| 6 | 363LA2200X | Nurse Practitioner | Adult Health | 5013295 | NORTH CAROLINA | No |
| 7 | 363LC0200X | Nurse Practitioner | Critical Care Medicine | 5013295 | NORTH CAROLINA | No |
| 8 | 363LG0600X | Nurse Practitioner | Gerontology | 5013295 | NORTH CAROLINA | No |