Provider Demographics
NPI:1447784095
Name:MOUNTAIN ADVANCED PRACTICE PLLC
Entity Type:Organization
Organization Name:MOUNTAIN ADVANCED PRACTICE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATTI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SPARLING
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:828-349-3333
Mailing Address - Street 1:316 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-2925
Mailing Address - Country:US
Mailing Address - Phone:828-349-3333
Mailing Address - Fax:828-349-3379
Practice Address - Street 1:316 W MAIN ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-2925
Practice Address - Country:US
Practice Address - Phone:828-349-3333
Practice Address - Fax:828-349-3379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-19
Last Update Date:2017-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC163415261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care