MEDICARE: MS. ANNE ELIZABETH MCLENDON APRN

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	5022999	NC
2	363LF0000X	Family Nurse Practitioner	APRN11038112	FL

General Provider Information

NPI Number	:	1962202614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANNE ELIZABETH MCLENDON APRN

Provider Business Mailing Address
First Line	:	5800 OLD PINEVILLE RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28217-4106
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5800 OLD PINEVILLE RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28217-4106
Country	:	US
Telephone Number	:	866-299-4968
Fax Number	:

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

Provider Enumeration Date	:	03/13/2025
Last Update Date	:	12/01/2025

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