Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | C005436 | NC |
N | 174N00000X | Lactation Consultant | 11296532 | NC |
NPI | 1194840165 |
---|---|
Provider Name | Vannessa Cain Gharbi |
First Address | Greensboro, NC 27407-1228 |
Second Address | Greensboro, NC 27405-6712 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 14/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
143X0 | BCBS (01) | NC |
562033116 | TRICARE-TAX ID (01) | NC |
6007272 | (05) | NC |