MY PEACE KEEPER INC NPI 1679802631

NPI Information

NPI: 1679802631
Provider Name: MY PEACE KEEPER INC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
7504 E INDEPENDENCE BLVD STE 101
CHARLOTTE, NC
ZIP 28227
Phone: (704) 531-5656
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MY PEACE KEEPER INC is a family nurse practitioner in Charlotte, NC. MY PEACE KEEPER INC NPI is 1679802631. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7504 E INDEPENDENCE BLVD STE 101
CHARLOTTE, NC
ZIP 28227-407
Phone: (704) 531-5656
Fax: (704) 531-9711

The provider's authorized official is Virginia B Pough .
The authorized official title is Executive Director and has the following contact phone number (704) 531-5656.

The enumeration date for this NPI number is 12/21/2009 and was last updated on 12/21/2009.

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	364SP0810X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Family			No
2	363LF0000X	Nurse Practitioner	Family			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: 4/28/2024

NPI Synchronization or Removal

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