Provider Demographics
NPI:1679039374
Name:SILVER CREEK FAMILY PRACTICE, PLLC
Entity type:Organization
Organization Name:SILVER CREEK FAMILY PRACTICE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MICHAELS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:828-608-2016
Mailing Address - Street 1:110 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-6040
Mailing Address - Country:US
Mailing Address - Phone:828-608-2016
Mailing Address - Fax:828-608-2029
Practice Address - Street 1:302 PITTS STREET
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-6040
Practice Address - Country:US
Practice Address - Phone:828-608-2016
Practice Address - Fax:828-608-2029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-18
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care