Quigley, Mary Lou Brooks

Quigley, Mary Lou Brooks is an individual health care provider with primary practice located at 1814 Westchester Dr Suite 301, High Point NC 27262-7299. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Quigley, Mary Lou Brooks can be contacted via phone (336) 802-2025.

Contact Information

Primary practice address
1814 Westchester Dr Suite 301 High Point NC 27262-7299
Phone: (336) 802-2025
Fax: (336) 802-2026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 600113 North Carolina

Profile Details

NPI number 1710902796
LBN Legal business name Quigley, Mary Lou Brooks
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Sep 17th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710902796 NPPES
North Carolina Other 500013744 RR MEDICARE

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