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NPI Code Detail

MEDICARE: ANN TRIPPEL WATTS FNP-C

MEDICARE: ANN TRIPPEL WATTS FNP-C
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 Practitioner200781NC
2363LF0000XFamily Nurse Practitioner200781NC

General Provider Information

NPI Number : 1316934847
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN TRIPPEL WATTS FNP-C
Provider Business Mailing Address
First Line : PO BOX 744786
Second Line :
City : ATLANTA
State : GA
Zip : 30374-4786
Country : US
Telephone Number : 704-834-2450
Fax Number : 704-671-5331
Provider Business Practice Location Address
First Line : 4235 S NEW HOPE RD STE A
Second Line :
City : GASTONIA
State : NC
Zip : 28056-8453
Country : US
Telephone Number : 704-825-4750
Fax Number : 704-825-6985
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2005
Last Update Date : 03/09/2023

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Directions to “ ANN TRIPPEL WATTS FNP-C” Practice Location

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