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NPI Code Detail

MEDICARE: DEIRDRA ANYANWU FNP-C

MEDICARE: DEIRDRA ANYANWU FNP-C
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 Practitioner241729NC

General Provider Information

NPI Number : 1912669482
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEIRDRA ANYANWU FNP-C
Provider Business Mailing Address
First Line : 7940 WILLIAMS POND LN STE 150
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-8409
Country : US
Telephone Number : 704-752-7779
Fax Number :
Provider Business Practice Location Address
First Line : 7940 WILLIAMS POND LN STE 150
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-8409
Country : US
Telephone Number : 704-752-7779
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2021
Last Update Date : 03/01/2022

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Directions to “ DEIRDRA ANYANWU FNP-C” Practice Location

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