Healthcare Provider Details

I. General information

NPI: 1255432969
Provider Name (Legal Business Name): GERALDINE ANNE ALWEISS NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 11/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CHARLOTTE ST
ASHEVILLE NC
28801-1923
US

IV. Provider business mailing address

200 CHARLOTTE ST
ASHEVILLE NC
28801-1923
US

V. Phone/Fax

Practice location:
  • Phone: 828-258-9068
  • Fax: 888-371-1218
Mailing address:
  • Phone: 828-258-9068
  • Fax: 888-371-1218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1262282
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5005971
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: