Provider Demographics
NPI:1538998463
Name:COST PLUS HEALTH PLLC
Entity type:Organization
Organization Name:COST PLUS HEALTH PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:DURHAM
Authorized Official - Suffix:
Authorized Official - Credentials:CNM, WHNP-BC
Authorized Official - Phone:252-626-6799
Mailing Address - Street 1:201 E ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27909-4351
Mailing Address - Country:US
Mailing Address - Phone:252-626-6799
Mailing Address - Fax:252-698-0178
Practice Address - Street 1:606B PINETREE DR
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-4430
Practice Address - Country:US
Practice Address - Phone:252-658-1553
Practice Address - Fax:252-288-4411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-30
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty
No261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health