Provider Demographics
NPI:1164568143
Name:BARRUS, ANNIE GRIFFITH (FNP)
Entity Type:Individual
Prefix:
First Name:ANNIE
Middle Name:GRIFFITH
Last Name:BARRUS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:775 HANNAH BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28714-7572
Mailing Address - Country:US
Mailing Address - Phone:828-682-6118
Mailing Address - Fax:828-682-6262
Practice Address - Street 1:202 MEDICAL CAMPUS DR
Practice Address - Street 2:YCHD
Practice Address - City:BURNSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28714-9004
Practice Address - Country:US
Practice Address - Phone:828-682-6118
Practice Address - Fax:828-682-6262
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200565363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC200565OtherNC MEDICAL BOARD