MRS. TRISHA ANN DMYTRUK FNP
NPI 1346760675
Obstetrics & Gynecology - Obstetrics in Charlotte, NC

Q: What is the provider's specialty?

The provider's specialty is Obstetrics & Gynecology with taxonomy code 207VX0000X and a focus in Obstetrics.

Active since June 27, 2017

11840 SOUTHMORE DR STE 100, CHARLOTTE, NC 28277(704) 316-4440(704) 316-4441 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 16, 2018, Aug 8, 2017, Jun 27, 2017 (3 updates tracked since 2017).

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About Mrs. Trisha Ann Dmytruk Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TRISHA ANN DMYTRUK FNP (NPI 1346760675) is an individual obstetrics provider in Charlotte, North Carolina, licensed in North Carolina (DMYT-D80B68) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1346760675

Entity TypeIndividualFemale

Primary Taxonomy207VX0000X

Provider Legal NameMRS. TRISHA ANN DMYTRUKCredential: FNP

Location Address11840 SOUTHMORE DR STE 100Charlotte, NC 28277-4821

Mailing Address12615 Kane Alexander DrHuntersville, NC 28078-3753 · (704) 947-7925 · Fax (704) 316-6773

Phone(704) 316-4440

Fax(704) 316-4441

Sole ProprietorNo

Enumeration DateJune 27, 2017

Last NPPES UpdateJune 16, 20183 updates tracked since enumeration

✔ NPI 1346760675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians

Taxonomy Code207VX0000X

License✔ Licensed in NC · DMYT-D80B68

Definition

A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee

11840 SOUTHMORE DR STE 100, Charlotte, NC 28277

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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLINA MEDICORP ENTERPRISES INC

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