Provider profile · NPI 1942960901

20nw

Nurse Practitioner · New Bern, NC · NPI 1942960901 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Nurse Practitioner

Enumerated

Dec 17, 2021

License(s)

Addresses on file

PurposeAddressCity/StatePhone
MAILING1225 NATIONAL AVE New Bern, NC 28560-3275252-670-8573
LOCATION2701 AMHURST BLVD # VILLAB New Bern, NC 28562-4294252-670-8573

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