MEDICARE: BRENDA ARMSTRONG ANP-BC

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	363LA2200X	Adult Health Nurse Practitioner	0050-00595	NC

General Provider Information

NPI Number	:	1699004408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA ARMSTRONG ANP-BC

Provider Business Mailing Address
First Line	:	7314 WAVERLY WALK AVE UNIT E7
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-4846
Country	:	US
Telephone Number	:	704-324-6863
Fax Number	:

Provider Business Practice Location Address
First Line	:	7314 WAVERLY WALK AVE UNIT E7
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-4846
Country	:	US
Telephone Number	:	704-324-6863
Fax Number	:

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

Provider Enumeration Date	:	12/08/2009
Last Update Date	:	01/23/2024

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