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NPI Code Detail

MEDICARE: MRS. SUE ELLEN DRINKARD FNP

MEDICARE: MRS. SUE ELLEN DRINKARD FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner200655NC

General Provider Information

NPI Number : 1053464966
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUE ELLEN DRINKARD FNP
Provider Business Mailing Address
First Line : 4020 W FRIENDLY AVE
Second Line :
City : GREENSBORO
State : NC
Zip : 27410-5646
Country : US
Telephone Number : 336-294-6275
Fax Number :
Provider Business Practice Location Address
First Line : 1002 S EUGENE ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27406-1308
Country : US
Telephone Number : 336-271-5999
Fax Number : 335-271-5990
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. SUE ELLEN DRINKARD FNP” Practice Location

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