Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | 701 | NC |
NPI | 1174005854 |
---|---|
Provider Name | Caroline Michelle Neill |
First Address | Greensboro, NC 27455-2464 |
Second Address | Greensboro, NC 27405-6967 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2018 |
Last Update Date | 27/08/2021 |