Healthcare Provider Details

I. General information

NPI: 1477444248
Provider Name (Legal Business Name): ELIZABETH ANN SCHURICK PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 BLYTHE BLVD SUITE 3000
CHARLOTTE NC
28203-5866
US

IV. Provider business mailing address

1001 BLYTHE BLVD SUITE 3000
CHARLOTTE NC
28203
US

V. Phone/Fax

Practice location:
  • Phone: 704-381-9900
  • Fax: 704-381-9901
Mailing address:
  • Phone: 704-355-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number56-1398929
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: