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NPI Code Detail

MEDICARE: MRS. ANGELA CATHERINE DAVIS FNP

MEDICARE: MRS. ANGELA CATHERINE DAVIS 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
1363LF0000XFamily Nurse Practitioner5007908NC
2363L00000XNurse Practitioner5007908NC

General Provider Information

NPI Number : 1851768352
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANGELA CATHERINE DAVIS FNP
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number : 844-266-8268
Fax Number :
Provider Business Practice Location Address
First Line : 7804 FAIRVIEW RD STE A
Second Line :
City : CHARLOTTE
State : NC
Zip : 28226-4999
Country : US
Telephone Number : 704-316-3136
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2015
Last Update Date : 08/02/2024

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