Organization
DENVER FAMILY HEALTHCARE,PLLC
Active
Organization
DENVER FAMILY HEALTHCARE,PLLC
Active
Other names
Ervin Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIRGINIA B ERVIN MSN, FNP-BC (OWNER/FAMILY NURSE PRACTITIONER)
(704) 739-5550
Entity
Organization
Contact information
Practice address
108 W MOUNTAIN ST, KINGS MOUNTAIN, NC 28086-3413
(704) 739-5550
(800) 317-3563
Mailing address
108 W MOUNTAIN ST, KINGS MOUNTAIN, NC 28086-3413
(704) 739-5550
(800) 317-3563
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2592397A
MEDICARE PTAN
—
Enumeration date
10/21/2008
Last updated
07/08/2013
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