National Provider Identifier Database

NICOLE CYRILLE SUPERVILLE, MD – NPI #1497047633
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

NICOLE CYRILLE SUPERVILLE, MD
10650 PARK RD
CHARLOTTE, NC28210-8538
Phone: 704-667-3840
Fax:
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X
Advanced Heart Failure & Transplant Cardiology 207RA0001X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for NICOLE CYRILLE SUPERVILLE

NPI Number 1497047633
Credentials MD
Entity Individual
Enumeration date 05/06/2011
Last updated 07/17/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • NC License #: 2018-00703
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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