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NPI Profile for FAMILY TREE OB GYN PA in REIDSVILLE, NC.
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Adult Health |
363LA2200X | 50 | Nurse Practitioner | |
Advanced Practice Midwife |
367A00000X | 42 | Certified Nurse Midwife | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner | |
Obstetrics & Gynecology |
207V00000X | 16 | Physician/Obstetrics & Gynecology |
| NPI Number | 1730276890 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/09/2006 | |
| Last updated | 09/11/2025 - About 9 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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FAMILY TREE OB GYN, PA