Basic Information
| Provider Information | |||||||||
| NPI: | 1013262245 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NGETICH | ||||||||
| FirstName: | DINAH | ||||||||
| MiddleName: | CHEBOTIP | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | FNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10320 FELD FARM LN | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282108483 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7045410925 | ||||||||
| FaxNumber: | 7045410924 | ||||||||
| Practice Location | |||||||||
| Address1: | 1309 N ELM ST | ||||||||
| Address2: | |||||||||
| City: | GREENSBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 274011005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3365445400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2012 | ||||||||
| LastUpdateDate: | 09/20/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/20/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 5005671 | NC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | 177XJ | 01 | NC | BCBS | OTHER |