Provider Demographics
NPI:1912364050
Name:NAFZIGER, CORY LYNN (AGNP-C)
Entity Type:Individual
Prefix:MR
First Name:CORY
Middle Name:LYNN
Last Name:NAFZIGER
Suffix:
Gender:M
Credentials:AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3803 ROBERT PORCHER WAY
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-2191
Mailing Address - Country:US
Mailing Address - Phone:336-286-3442
Mailing Address - Fax:336-286-1156
Practice Address - Street 1:3803 ROBERT PORCHER WAY
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-2191
Practice Address - Country:US
Practice Address - Phone:336-286-3442
Practice Address - Fax:336-286-1156
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-20
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3K6L12363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health