Healthcare Provider Details

I. General information

NPI: 1962202614
Provider Name (Legal Business Name): ANNE ELIZABETH MCLENDON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5800 OLD PINEVILLE RD
CHARLOTTE NC
28217-4106
US

IV. Provider business mailing address

5800 OLD PINEVILLE RD
CHARLOTTE NC
28217-4106
US

V. Phone/Fax

Practice location:
  • Phone: 866-299-4968
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5022999
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11038112
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: