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Poonam Rai Gupta, NP
Nurse Practitioner in Mooresville, North Carolina
NPI 1922464601

Poonam Rai Gupta is a Nurse Practitioner based in Charlotte, NC. Poonam Rai Gupta practices in Mooresville, NC and has the professional credentials of NP. The NPI Number for Poonam Rai Gupta is 1922464601 and holds a License No. 5008287 (North Carolina).

The current practice location address for Poonam Rai Gupta is 134 Medical Park Rd, Mooresville, NC and can be reached out via phone at 704-801-9100. You can also correspond with Poonam Rai Gupta through the mailing address at PO BOX 19305, CHARLOTTE, NC - 28219-9305 (mailing address contact number: ).

Location: 134 Medical Park Rd, Mooresville, NC, 28219-9305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922464601
Provider Name
Poonam Rai Gupta
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
134 Medical Park Rd, Mooresville, NC, 28219-9305
Phone Number
704-801-9100
Fax Number
Provider Enumeration Date
01/11/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
134 Medical Park Rd
City
Mooresville
State
North Carolina
Zip
28117-8526
Phone Number
704-801-9100
Fax Number
person
Provider Business Mailing Address Details
Address
134 Medical Park Rd
City
Mooresville
State
North Carolina
Zip
28117-8526
Phone Number
704-801-9100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
5008287 (North Carolina)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
5008287 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
5008287 (North Carolina)
Definition
Definition to come...
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