IndividualActive
Marybeth Burriss-West
NPI 1023646825 · Pediatric Critical Care Medicine Physician · Charlotte, NC
Provider details
- NPI number
- 1023646825
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 261027 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1000 Blythe Blvd Fl 4
Charlotte, NC 28203-5812
Phone: (704) 381-6800
Fax: (704) 381-6841
Approximate (ZIP-level) locationGet directions
Mailing address
4008 Lila Blue Ln
Raleigh, NC 27612-6955
Registry dates
- Enumerated
- 2020-03-29
- Last updated
- 2025-03-26
- Certified
- 2025-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.