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NPI Code Detail

MEDICARE: MISTY SETZER CLINE FNP-C

MEDICARE: MISTY SETZER CLINE FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse Practitioner5007259NC
2363LF0000XFamily Nurse Practitioner159789NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043614670
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISTY SETZER CLINE FNP-C
Provider Business Mailing Address
First Line : PO BOX 601884
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-1884
Country : US
Telephone Number : 980-487-2200
Fax Number : 704-435-3295
Provider Business Practice Location Address
First Line : 112 OAK ST
Second Line :
City : CHERRYVILLE
State : NC
Zip : 28021-3423
Country : US
Telephone Number : 980-487-2200
Fax Number : 704-435-3295
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2014
Last Update Date : 01/21/2015

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1689016610 — CAROLINAS PHYSICIANS NETWORK, INC.
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Directions to “ MISTY SETZER CLINE FNP-C” Practice Location

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