MRS. PHYLLIS T MCCORMICK RNC-OGNP NPI 1417010778

NPI Information

NPI: 1417010778
Provider Name: MRS. PHYLLIS T MCCORMICK, RNC-OGNP
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

PECOS Registration: Yes

Address:
101 HOLBROOK ST
DANVILLE, VA
ZIP 24541
Phone: (434) 792-7765
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MRS. Phyllis T Mccormick, RNC-OGNP is an obstetrics and gynecology nurse practitioner in Danville, VA with 47 years of experience. MRS. Phyllis T Mccormick, RNC-OGNP NPI is 1417010778. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduation Year:1977

The provider's business location address is:

101 HOLBROOK ST
DANVILLE, VA
ZIP 24541-732
Phone: (434) 792-7765

The NPI 1417010778 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 12/18/2006 and was last updated on 7/8/2007.

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	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	0001061930	VIRGINIA	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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