Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Adult Health
Enumerated
Jun 4, 2018
License(s)
5010569 (NC), 5010569 (NC), 5010569 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 4420 LAKE BOONE TRL | Raleigh, NC 27607-7505 | 919-784-3100 |
| MAILING | 105 CLEARCREEK CT | Cary, NC 27513-3191 | 919-749-0212 |
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