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Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Adult Health

Provider NPI: 1982770467

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
Tel: 336-282-1251  Fax: 336-282-1252

Business Mailing Address:
Tel: 336-855-0885  Fax: --

NPI Information:
NPI: 1982770467
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
X363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Adult Health
X363LG0600XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
X363LP0808XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner

Other Provider Identifiers:



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