MEDICARE: MRS. KIM RENAE ENGLISH MSN, FNP, PMHNP-BC

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	163WC1500X	Community Health Registered Nurse	198881	NC
2	363LF0000X	Family Nurse Practitioner	5004910	NC
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	2020114621	NC

General Provider Information

NPI Number	:	1659476240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KIM RENAE ENGLISH MSN, FNP, PMHNP-BC

Provider Business Mailing Address
First Line	:	3719 LATROBE DR STE 850B
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-4827
Country	:	US
Telephone Number	:	980-445-8063
Fax Number	:

Provider Business Practice Location Address
First Line	:	3719 LATROBE DR STE 850B
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-4827
Country	:	US
Telephone Number	:	980-445-8063
Fax Number	:

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

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	05/08/2023

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