Provider Demographics
NPI:1427199082
Name:ARMSTRONG, ANNIE (CAP)
Entity Type:Individual
Prefix:
First Name:ANNIE
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1319 AZTEC PL
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-6112
Mailing Address - Country:US
Mailing Address - Phone:910-424-2142
Mailing Address - Fax:
Practice Address - Street 1:1319 AZTEC PL
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-6112
Practice Address - Country:US
Practice Address - Phone:910-424-2142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services