| NPI | 1104823087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN GLEESON-WARREN Credentialing Director 828-277-4810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: NC 200201376) |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry | |
| 363LF0000X Nurse Practitioner Family | |
| 363LG0600X Nurse Practitioner Gerontology | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208D00000X General Practice | |
| 363L00000X Nurse Practitioner | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 363A00000X Physician Assistant | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NC 86999) | |
| 363LA2100X Nurse Practitioner Acute Care (Licence: NC 86999) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2015-04-16 |