Provider Demographics
NPI:1487885281
Name:GETTELFINGER, JOAN THERESE (NP-C)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:THERESE
Last Name:GETTELFINGER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 E SEVENTH ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-2408
Mailing Address - Country:US
Mailing Address - Phone:704-375-0100
Mailing Address - Fax:
Practice Address - Street 1:1420 E SEVENTH ST
Practice Address - Street 2:APT 302
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2408
Practice Address - Country:US
Practice Address - Phone:704-375-0100
Practice Address - Fax:704-375-8623
Is Sole Proprietor?:No
Enumeration Date:2009-07-29
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5004445363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health