Provider Demographics
NPI:1770341737
Name:CRITCHER, LORI (NBC-HWC)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:CRITCHER
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15433 NORTHSTONE DR
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-5756
Mailing Address - Country:US
Mailing Address - Phone:704-947-6222
Mailing Address - Fax:
Practice Address - Street 1:15433 NORTHSTONE DR
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-5756
Practice Address - Country:US
Practice Address - Phone:704-947-6222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-13
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA3274358171400000X
NC218563163WC1500X, 163W00000X, 163WX0106X, 163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No171400000XOther Service ProvidersHealth & Wellness Coach
No163W00000XNursing Service ProvidersRegistered Nurse
No163WX0106XNursing Service ProvidersRegistered NurseOccupational Health
No163WX0200XNursing Service ProvidersRegistered NurseOncology