QUALITY CARE MEDICAL CLINIC NPI 1851761407

NPI Information

NPI: 1851761407
Provider Name: QUALITY CARE MEDICAL CLINIC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
5124 MONROE RD
CHARLOTTE, NC
ZIP 28205
Phone: (980) 777-3651
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QUALITY CARE MEDICAL CLINIC is a family nurse practitioner in Charlotte, NC. QUALITY CARE MEDICAL CLINIC NPI is 1851761407. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5124 MONROE RD
CHARLOTTE, NC
ZIP 28205-826
Phone: (980) 777-3651
Fax: (704) 983-9242

The provider's authorized official is Pacharo Sally Ndupu .
The authorized official title is Owner/operator and has the following contact phone number (980) 777-3651.

The enumeration date for this NPI number is 9/25/2015 and was last updated on 9/25/2015.

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	363LF0000X	Nurse Practitioner	Family	190528	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: 4/28/2024

NPI Synchronization or Removal

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