| NPI | 1548374523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL LEVILLE CFO 919-833-7526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site (Licence: NC 05376) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2025-09-08 |