Healthcare Provider Details

I. General information

NPI: 1164568143
Provider Name (Legal Business Name): ANNE GRIFFITH BARRUS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 12/10/2024
Certification Date: 12/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

167 LOCUST ST STE 204
SPRUCE PINE NC
28777-2702
US

IV. Provider business mailing address

1010 HANNAH BRANCH RD
BURNSVILLE NC
28714-9586
US

V. Phone/Fax

Practice location:
  • Phone: 828-284-2257
  • Fax:
Mailing address:
  • Phone: 828-284-2257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number200565
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: