| NPI | 1144607243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDETTE VENDETTA JOHNSON Agency Director 336-500-8734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 162296) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy |
| 163WM0705X Registered Nurse, Medical-Surgical | |
| 164W00000X Licensed Practical Nurse | |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-04-28 |