| NPI | 1265308936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSA ANGEL Nurse Practitioner 910-676-2227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2025-10-10 |
| Last Update Date | 2025-10-10 |