Provider Demographics
NPI:1285393207
Name:PIPES, CHARLES TRAVIS (FNP-C)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:TRAVIS
Last Name:PIPES
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 TIMBER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-8483
Mailing Address - Country:US
Mailing Address - Phone:828-228-9390
Mailing Address - Fax:
Practice Address - Street 1:2537 US HIGHWAY 70 SE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-8302
Practice Address - Country:US
Practice Address - Phone:828-267-6444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-17
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5015258363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily