Provider Demographics
NPI:1376623892
Name:PRINZHORN, JOANNE NAZLEROD (NP)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:NAZLEROD
Last Name:PRINZHORN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 VANDERBILT PARK DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1700
Mailing Address - Country:US
Mailing Address - Phone:828-213-1740
Mailing Address - Fax:828-213-1742
Practice Address - Street 1:6 BROOKLET ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4505
Practice Address - Country:US
Practice Address - Phone:828-252-8983
Practice Address - Fax:828-252-7551
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC122777363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1376623892Medicaid
NC7003725Medicaid
NCQ53833Medicare UPIN