Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Mar 10, 2022
License(s)
303024 (NC), 5015951 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2991 CROUSE LN | Burlington, NC 27215-8833 | 336-586-0994 |
| MAILING | 815 BLUE LAKE DR | Mebane, NC 27302-8694 | 434-548-5932 |
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