Provider Demographics
NPI:1902891278
Name:HEMP, ANTIONETTE ESPOSITO (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ANTIONETTE
Middle Name:ESPOSITO
Last Name:HEMP
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:178 HIGHWAY 105 EXT
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-4206
Mailing Address - Country:US
Mailing Address - Phone:828-265-7146
Mailing Address - Fax:828-265-7150
Practice Address - Street 1:178 HIGHWAY 105 EXT
Practice Address - Street 2:SUITE 101
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-4206
Practice Address - Country:US
Practice Address - Phone:828-265-7146
Practice Address - Fax:828-265-7150
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC103663363A00000X
TNPA0000001143363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCQ06484Medicare UPIN
TN3662450Medicare ID - Type UnspecifiedTN MEDICARE
NC2759457Medicare ID - Type UnspecifiedNC MEDICARE