MEDICARE: MRS. NANCY MCINTOSH GRIFFITH RN MSN FNP CNM

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	176B00000X	Midwife	APPLICANTAPPROVAL068	NC
2	207Q00000X	Family Medicine Physician	200632	NC
3	363LF0000X	Family Nurse Practitioner	200632	NC
4	367A00000X	Advanced Practice Midwife

General Provider Information

NPI Number	:	1730181652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NANCY MCINTOSH GRIFFITH RN MSN FNP CNM

Provider Business Mailing Address
First Line	:	PO BOX 325
Second Line	:
City	:	NEWLAND
State	:	NC
Zip	:	28657
Country	:	US
Telephone Number	:	828-733-6031
Fax Number	:	828-733-6034

Provider Business Practice Location Address
First Line	:	545 SCHULTZ CIRCLE
Second Line	:
City	:	NEWLAND
State	:	NC
Zip	:	28657
Country	:	US
Telephone Number	:	828-733-6031
Fax Number	:	828-733-6034

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

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	06/17/2019

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