MIA LICOLE SAULTER


Address: 3961 Stafford Run Ct, High Point, NC 27265-9480
Phone: 9196012139

MIA LICOLE SAULTER (NPI# 1578109427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578109427
Entity Type Individual
Full Name MIA LICOLE SAULTER
Credential AGPCNP
Practice Address 3961 Stafford Run Ct
High Point
NC 27265-9480
Practice Telephone 9196012139
Mailing Telephone 9196012139
Enumeration Date 2019-11-25
Last Update Date 2019-11-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
2018089130 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3961 STAFFORD RUN CT
City HIGH POINT
State NC
Zip Code 27265-9480

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467066985 Rowanty N. Jenkins Registered Nurse 4305 Holstein Drive, High Point, NC 27265 2020-09-02
1407355704 Triad Pediatrics, PC Pediatrics 2754 Hwy 68, Suite 111, High Point, NC 27265 2018-02-02
1942730452 Triad Women's Health and Wellness Center Obstetrics & Gynecology 3750 Admiral Dr., Suite 104, High Point, NC 27265 2017-06-16
1992235642 Gina Cobb Davis Registered Nurse 2215 Hickswood Rd., High Point, NC 27265 2017-06-15
1700316395 Jennifer George Specialist/Technologist 3988 Clubhouse Court Apt. 2h, High Point, NC 27265 2017-06-15
1730530510 Safe Living Solutions Contractor 2209 Eastchester Dr., Ste 109, High Point, NC 27265 2016-06-23
1528412087 Johnette Walser Social Worker 2411 Penny Road, Suite 102, High Point, NC 27265 2016-04-20
1093143489 Debbie Schmitz Specialist 801 Lindsay St. Suite E, High Point, NC 27265 2013-10-22
1164786034 Janice Rene' Swanson Dietitian, Registered 4515 Premier Dr Ste 401, High Point, NC 27265 2012-06-26
1053600551 Lynn Buie Brooks Counselor 460 Sandybrooke Dr., High Point, NC 27265 2011-04-05
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1255947974 Alice Lorraine Fagan Nurse Practitioner 2130 Highland View Ln, Charlotte, NC 28214-9425 2020-09-17
1689286270 Meylien Delgado Lee Nurse Practitioner 510 S Spruce St, Wilkesboro, NC 28697-2846 2020-08-17
1124638317 Jakita Strong Nurse Practitioner 1506 Ladora Dr, Charlotte, NC 28262-6414 2020-08-03
1689284820 Corrie Hansen Nurse Practitioner 1700 Tarboro St W Ste 100, Wilson, NC 27893-3481 2020-08-03
1609490382 Brooke Martin Shaw Nurse Practitioner 5514, 350 N Cox St, Ste 6, Asheboro, NC 27203 2020-05-29
1467075440 Lydia A. Teague Nurse Practitioner 120 N Medical Drive Unc-ch Son: Carrington Hall Chapel, Chapel Hill, NC 27599-0001 2020-05-25
1689209710 Ana Rita Frey Nurse Practitioner 601 E 5th St Ste 140, Charlotte, NC 28202-3092 2020-03-09
1801430715 Erica Nicole Ebohon Nurse Practitioner 3803 Arundel Ct, Greensboro, NC 27406-9832 2019-11-04
1154979730 Noemi Garza Nurse Practitioner 5720 Creedmoor Rd Ste 200, Raleigh, NC 27612-2382 2019-08-28
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Competitor

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City HIGH POINT
Zip Code 27265

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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