| NPI | 1497219174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EURICA DIONE MANNING Chief Executive Officer 919-696-7766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2019-01-26 |
| Last Update Date | 2019-01-26 |