| NPI | 1598121642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY GURGANUS Owner 252-646-0998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5006123) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |