MEDICARE: MS. DORY ANN BABI FNP-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	363LF0000X	Family Nurse Practitioner	88848	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	88848	OTHER	NC	RN

General Provider Information

NPI Number	:	1871859132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DORY ANN BABI FNP-BC

Provider Business Mailing Address
First Line	:	1311 E 11TH STREET
Second Line	:
City	:	SILER CITY
State	:	NC
Zip	:	27344
Country	:	US
Telephone Number	:	919-625-2161
Fax Number	:

Provider Business Practice Location Address
First Line	:	1311 E 11TH ST
Second Line	:
City	:	SILER CITY
State	:	NC
Zip	:	27344-2772
Country	:	US
Telephone Number	:	919-625-2161
Fax Number	:

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

Provider Enumeration Date	:	04/11/2012
Last Update Date	:	04/11/2012

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