MEDICARE: ELIZABETH SUZANNE POINTER NP

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
1	363LF0000X	Family Nurse Practitioner	5005581	NC

General Provider Information

NPI Number	:	1609132869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH SUZANNE POINTER NP

Provider Business Mailing Address
First Line	:	104 HIDDEN VALLEY DR
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27516-8949
Country	:	US
Telephone Number	:	919-593-2073
Fax Number	:

Provider Business Practice Location Address
First Line	:	7718 SYLVAN RD
Second Line	:
City	:	SNOW CAMP
State	:	NC
Zip	:	27349-9504
Country	:	US
Telephone Number	:	336-506-0631
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2012
Last Update Date	:	06/22/2016

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