CARLA RAE NORDSTROM

CHARLOTTE, NC
NPI1982653192
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: NC  2017-02055)
Additional Taxonomies207RC0200X Internal Medicine, Critical Care Medicine
(Licence: NC  2017-02055)
207RS0012X Internal Medicine, Sleep Medicine
(Licence: NC  2017-02055)
Enumeration Date2006-05-08
Last Update Date2023-12-18
Business Address
CARLA RAE NORDSTROM MD
1350 S KINGS DR
CHARLOTTE, NC 28207-2134
Phone number: 704-446-4490
Mailing Address
CARLA RAE NORDSTROM MD
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number: