PRENTIS RAE GROSS

NEW BERN, NC
NPI1801177605
Former NamePRENTIS RAE MAULDIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NC  5005290)
Enumeration Date2011-09-07
Last Update Date2016-10-26
Business Address
-- PRENTIS RAE GROSS NP
1040 MEDICAL PARK AVE
NEW BERN, NC 28562-5248
Phone number: 252-633-1678
Mailing Address
-- PRENTIS RAE GROSS NP
PO BOX 12248
NEW BERN, NC 28561-2248
Phone number: 252-636-6222
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