Provider Demographics
NPI:1205890217
Name:POSEY, CAROL P (NP)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:P
Last Name:POSEY
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 1:110 OAKCREST DRIVE
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012
Mailing Address - Country:US
Mailing Address - Phone:704-460-0000
Mailing Address - Fax:704-943-0822
Practice Address - Street 1:110 OAKCREST DR
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:NC
Practice Address - Zip Code:28012-7618
Practice Address - Country:US
Practice Address - Phone:704-460-0000
Practice Address - Fax:704-943-0822
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-14
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC122729363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2592120Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
NCQ21130Medicare UPIN