Anne Porcher Chalmers Goforth
Individual provider Active NPI Family Nurse Practitioner · Eastover, NC
NPI 1760897052 · NPPES record last updated Oct 31, 2014
Key facts
- NPI
- 1760897052
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5006938 (NC)
- Practice address
- 3551 Dunn Rd # 101
Eastover, NC 28312-8794 - Phone
- (910) 483-6227
- Fax
- (910) 483-6369
- NPI assigned
- Jun 25, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5006938 | NC | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5006938 | NC | Yes |
Addresses
Primary practice location
3551 Dunn Rd # 101
Eastover, NC 28312-8794
Mailing address
3551 Dunn Rd # 101
Eastover, NC 28312-8794
Phone (910) 483-6227
Other providers in Eastover, NC
- Eastover Family Care PC
- Emmanuel Medical Transport LLC
- Vickie Lynn Farmer
- Charmay Deneen Fryar-Robinson
- Sharon Louise Gallagher
- Harvest Health Services, LLC
- Zachary Clay Hayes
- Anna M Hiltibidal
- Allison Underwood Holden
- J & S Care Inc.
All providers in Eastover, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.