LISA GAYLE MCIVER

WINSTON SALEM, NC
NPI1871079590
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NC  5018951)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: CA  95009478)
363LF0000X Nurse Practitioner, Family
(Licence: NC  5018951)
Enumeration Date2018-07-16
Last Update Date2024-11-12
Business Address
LISA GAYLE MCIVER FNP-C
105 HANES SQUARE CIR
WINSTON SALEM, NC 27103-5514
Phone number: 336-441-5569
Mailing Address
LISA GAYLE MCIVER FNP-C
PO BOX 601843
CHARLOTTE, NC 28260-1843
Phone number: