Organization
BROADVIEW HEALTH, PA
Active
Other names
BROADVIEW HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN TREASURE NP (PROVIDER)
(704) 544-0050
Entity
Organization
Contact information
Practice address
17232 LANCASTER HWY, CHARLOTTE, NC 28277-2002
(704) 544-0050
(704) 544-0050
Mailing address
349 VENUS ST, MONROE, NC 28112-4025
(704) 635-7418
(704) 635-7500
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
2009-00832
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083043913
—
NC
05
—
5921569
—
NC
Enumeration date
09/20/2012
Last updated
08/26/2021
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