| NPI | 1265669535 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2009-06-15 |
| Last Updated | 2009-12-02 |
| Authorized Official | Mona Mcclure Office Manager Phone: 8283559624 |
| Mailing Address | 222 Longvue Dr Boone, NC 28607-5060 United States Phone: (828) 355-9624 | Fax: (828) 355-9626 📍 View Map |
| Primary Practice Address | 222 Longvue Dr Boone, NC 28607-5060 United States Phone: (828) 355-9624 | Fax: (828) 355-9626 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363L00000X – Nurse Practitioner | NC | 200890 |
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About NPI 1265669535
Mountain Laurel Family Practice, Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1265669535. The primary specialty listed is Nurse Practitioner. The organization is located in Boone, NC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-06-15. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1265669535?
NPI 1265669535 belongs to Mountain Laurel Family Practice, Pllc, a Nurse Practitioner in Boone, NC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1265669535 active?
The current status of NPI 1265669535 in the NPPES registry is Active. The record was last updated on 2009-12-02.
What specialty is NPI 1265669535?
NPI 1265669535 is classified under the taxonomy Nurse Practitioner. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1265669535?
You can verify NPI 1265669535 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1265669535?
The primary practice address on file for NPI 1265669535 is 222 Longvue Dr, Boone, NC 28607-5060. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1265669535 issued?
NPI 1265669535 was first issued (enumerated) on 2009-06-15. The NPPES record was last updated on 2009-12-02.
Practice Location Map
Mountain Laurel Family Practice, Pllc is located at 222 Longvue Dr, Boone, NC. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Mountain Laurel Family Practice, Pllc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1265669535. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Nurse Practitioner | 200890 | NC |