Mctisa Michelle Lane
Nurse Practitioner - Family Medicine Nurse Practitioner - Community Health
124 Cinder Cross Way
Garner
, North Carolina 27529
Mctisa Michelle Lane
Nurse Practitioner - Family Medicine Nurse Practitioner - Community Health
124 Cinder Cross Way
Garner
, North Carolina 27529
(855) 540-4722
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About
Features
Specialties
- Nurse Practitioner - Community Health
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mctisa Michelle Lane
- 1159 Huffman Mill Rd
- Burlington, NC
- Zip : 27215-8862
- Fax : (855) 540-4722
- Phone : (336) 223-8333
Second Address
- Mctisa Michelle Lane
- 124 Cinder Cross Way
- Garner, NC
- Zip : 27529
- Fax : (919) 307-8017
- Phone : (919) 625-9818
Reviews
FAQs
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What is Mctisa Michelle Lane ’s gender?
Is Mctisa Michelle Lane a sole practitioner?
Is Mctisa Michelle Lane accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LC1500X | Nurse Practitioner - Community Health | 225163 | NC |
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 5005342 | NC |
National Provider Identifier
| NPI | 1669756177 |
|---|---|
| Provider Name | Mctisa Michelle Lane |
| First Address | Burlington, NC 27215-8862 |
| Second Address | Garner, NC 27529 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2011 |
| Last Update Date | 13/12/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.