SUMMER MARYELLEN TETTEH FNP NPI 1912393943

NPI Information

NPI: 1912393943
Provider Name: SUMMER MARYELLEN TETTEH, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4501 CAMERON VALLEY PKWY
STE 100
CHARLOTTE, NC
ZIP 28211
Phone: (704) 367-7400
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Summer Maryellen Tetteh, FNP is a family nurse practitioner in Charlotte, NC. Summer Maryellen Tetteh, FNP NPI is 1912393943. 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:

4501 CAMERON VALLEY PKWY
STE 100
CHARLOTTE, NC
ZIP 28211-297
Phone: (704) 367-7400

The NPI 1912393943 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 4/7/2015 and was last updated on 12/18/2023.

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	363L00000X	Nurse Practitioner		5007573	NORTH CAROLINA	No
2	363LF0000X	Nurse Practitioner	Family	5007573	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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