Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Pediatrics
Enumerated
Oct 2, 2023
License(s)
5018918 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 1347 | Hickory, NC 28603-1347 | |
| LOCATION | 3411 GRAYSTONE PL SE | Conover, NC 28613-8200 | 828-328-1118 |
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