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NPI Code Detail

MEDICARE: TRACY LEA WOLFE BIRCHFIELD FNP

MEDICARE: TRACY LEA WOLFE BIRCHFIELD FNP
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
1363LF0000XFamily Nurse PractitionerRN062503AZ
2363LF0000XFamily Nurse Practitioner213680NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2166HROTHERNCBCBSNC

General Provider Information

NPI Number : 1164497061
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACY LEA WOLFE BIRCHFIELD FNP
Provider Business Mailing Address
First Line : 1 HOSPITAL RD
Second Line : CALLER BOX C-268
City : CHEROKEE
State : NC
Zip : 28719-9253
Country : US
Telephone Number : 828-497-9163
Fax Number : 828-497-1723
Provider Business Practice Location Address
First Line : 1 HOSPITAL RD
Second Line : CALLER BOX C-268
City : CHEROKEE
State : NC
Zip : 28719-9253
Country : US
Telephone Number : 828-497-9163
Fax Number : 828-497-1723
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2006
Last Update Date : 04/18/2017

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Directions to “ TRACY LEA WOLFE BIRCHFIELD FNP” Practice Location

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