MRS. ANNE LUCY BROCK FNP-BC PMHNP-BC NPI 1588732275

NPI Information

NPI: 1588732275
Provider Name: MRS. ANNE LUCY BROCK, FNP-BC, PMHNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
289 SHILOH RD
FOREST CITY, NC
ZIP 28043
Phone: (828) 305-7787
Get Directions

MRS. Anne Lucy Brock, FNP-BC, PMHNP-BC is a family nurse practitioner in Forest City, NC. MRS. Anne Lucy Brock, FNP-BC, PMHNP-BC NPI is 1588732275. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

289 SHILOH RD
FOREST CITY, NC
ZIP 28043
Phone: (828) 305-7787
Fax: (828) 744-0001

The NPI 1588732275 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 5/3/2022.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	201127	NORTH CAROLINA	No
2	363LP2300X	Nurse Practitioner	Primary Care	201127	NORTH CAROLINA	No
3	363LF0000X	Nurse Practitioner	Family	201127	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7003516	MEDICAID	NORTH 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

NPI Synchronization or Removal

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