ROKSOLANA STARODUB

CHARLOTTE, NC
NPI1336385855
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NC  284130)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: PA  SP010110)
Enumeration Date2009-01-06
Last Update Date2016-11-11
Business Address
-- ROKSOLANA STARODUB NP
1350 S KINGS DR
CHARLOTTE, NC 28207-2134
Phone number: 704-631-0002
Mailing Address
-- ROKSOLANA STARODUB NP
1350 S KINGS DR
CHARLOTTE, NC 28207-2134
Phone number: 704-631-0002