VIVIAN MARIA PANTELAKOS NPI 1982473781

NPI Information

NPI: 1982473781
Provider Name: VIVIAN MARIA PANTELAKOS
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
13845 CONLAN CIR
CHARLOTTE, NC
ZIP 28277
Phone: (704) 544-2902
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Vivian Maria Pantelakos is a family nurse practitioner in Charlotte, NC. Vivian Maria Pantelakos NPI is 1982473781. 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:

13845 CONLAN CIR
CHARLOTTE, NC
ZIP 28277-705
Phone: (704) 544-2902

The NPI 1982473781 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 12/21/2023 and was last updated on 4/8/2024.

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	5019382	NORTH CAROLINA	Yes
2	363LF0000X	Nurse Practitioner	Family	F08231284	NORTH CAROLINA	No

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: 5/5/2024

NPI Synchronization or Removal

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