BERRY PERSONALIZED PRIMARY CARE LLC NPI 1326748815

NPI Information

NPI: 1326748815
Provider Name: BERRY PERSONALIZED PRIMARY CARE LLC

Doing Business As: BERRY PERSONALIZED PRIMARY CARE LLC

Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

Address:
704 MAIN ST
GATESVILLE, NC
ZIP 27938
Phone: (252) 260-1569
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BERRY PERSONALIZED PRIMARY CARE LLC is a gerontology nurse practitioner in Gatesville, NC. BERRY PERSONALIZED PRIMARY CARE LLC NPI is 1326748815. The provider is registered as an organization entity type.
The provider Is Doing Business As Berry Personalized Primary Care Llc.

The provider's business location address is:

704 MAIN ST
GATESVILLE, NC
ZIP 27938-420
Phone: (252) 260-1569

The provider's authorized official is Mary Berry .
The authorized official title is Agnp/owner and has the following contact phone number (757) 618-2545.

The enumeration date for this NPI number is 3/6/2023 and was last updated on 7/26/2023.

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	261QP2300X	Clinic/Center	Primary Care			No
2	363LG0600X	Nurse Practitioner	Gerontology			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: 5/5/2024

NPI Synchronization or Removal

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