Basic Information
| Provider Information | |||||||||
| NPI: | 1114160066 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COX | ||||||||
| FirstName: | MYRIAH | ||||||||
| MiddleName: | ELIZABETH | ||||||||
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| Credential: | RN, NP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3803 N ELM ST | ||||||||
| Address2: | OPTUM HEALTH CARE | ||||||||
| City: | GREENSBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 274552593 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3365407067 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3803 N ELM ST | ||||||||
| Address2: | OPTUM HEALTH CARE | ||||||||
| City: | GREENSBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 274552593 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3365407067 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/08/2009 | ||||||||
| LastUpdateDate: | 05/15/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2200X | 5004346 | NC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
No ID Information.