MEDICARE: MRS. ANNA SUTTON HAMRICK NP

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
1	363LF0000X	Family Nurse Practitioner	0050-02726	NC

General Provider Information

NPI Number	:	1659497691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANNA SUTTON HAMRICK NP

Provider Business Mailing Address
First Line	:	951 WENDOVER HEIGHT DR
Second Line	:
City	:	SHELBY
State	:	NC
Zip	:	28150-3565
Country	:	US
Telephone Number	:	704-487-4678
Fax Number	:

Provider Business Practice Location Address
First Line	:	951 WENDOVER HEIGHT DR
Second Line	:
City	:	SHELBY
State	:	NC
Zip	:	28150-3565
Country	:	US
Telephone Number	:	704-487-4678
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	05/12/2010

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