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NPI Code Detail

MEDICARE: N2 POTENTIAL

MEDICARE: N2 POTENTIAL
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
1251E00000XHome Health Agency
2251V00000XVoluntary or Charitable Agency
3251B00000XCase Management Agency
4251X00000XSupports Brokerage Agency
5251S00000XCommunity/Behavioral Health Agency
6251K00000XPublic Health or Welfare Agency

General Provider Information

NPI Number : 1871869834
Entity Type Code : Organization
Provider Name (Legal Business Name) : N2 POTENTIAL
Provider Business Mailing Address
First Line : PO BOX 32846
Second Line :
City : CHARLOTTE
State : NC
Zip : 28232-2846
Country : US
Telephone Number : 704-756-7339
Fax Number : 704-552-0667
Provider Business Practice Location Address
First Line : 2143 LENNOX SQUARE RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-9458
Country : US
Telephone Number : 704-605-4906
Fax Number : 704-552-0667
Authorized Official
Title or Position : EXECUTIVE DIRECTOR/FOUNDER
Name : MS. NATASHA C FETTERSON
Credential :
Telephone Number : 704-605-4906
Provider Enumeration Date : 03/23/2012
Last Update Date : 06/24/2013

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Directions to “N2 POTENTIAL ” Practice Location

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