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General NPI Number Information
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NPI Number | 1932599438
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Entity Type | Individual
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Provider Name | COURTNEY PANGLE GREENOUGH MSN, RNC-NIC, NNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/04/2015
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 801 GREEN VALLEY RD
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City | GREENSBORO
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State | NC
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Zip | 27408-7021
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Country | US
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Telephone | 336-832-6561
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Fax | 336-832-6561
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Provider Business Mailing Address
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Address Line | 6608 CHAMPIONSHIP DR
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City | WHITSETT
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State | NC
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Zip | 27377-8781
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Country | US
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Telephone | 336-260-9449
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | 5007445
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | APN.0998061-NP
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License Number State | CO
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