AHOSKIE MEDICAL PRACTICE INC NPI 1710529128

NPI Information

NPI: 1710529128
Provider Name: AHOSKIE MEDICAL PRACTICE, INC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 34D2242906

Address:
703 CATHERINE CREEK RD S
AHOSKIE, NC
ZIP 27910
Phone: (252) 209-0088
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AHOSKIE MEDICAL PRACTICE, INC is a family nurse practitioner in Ahoskie, NC. AHOSKIE MEDICAL PRACTICE, INC NPI is 1710529128. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

703 CATHERINE CREEK RD S
AHOSKIE, NC
ZIP 27910-905
Phone: (252) 209-0088
Fax: (252) 209-0088

The provider's authorized official is Penny Lynn Brown .
The authorized official title is Owner/ Mid-level Provider and has the following contact phone number (252) 209-0088.

The CLIA number assigned to this NPI record is 34D2242906 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2019 and was last updated on 10/17/2019.

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			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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