Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Mar 11, 2016
License(s)
255080 (NC), F0216623 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 12341 STRICKLAND RD SUITE 102 | Raleigh, NC 27613-1273 | 919-865-8000 |
| LOCATION | 12341 STRICKLAND RD SUITE 102 | Raleigh, NC 27613-1273 | 919-865-8000 |
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