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Individual
STEPHEN IMMORDINO
Active
Individual
STEPHEN IMMORDINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, FNP, NP-C, CDE
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5011944
NC
363LF0000X
Family Nurse Practitioner
Primary
5011944
NC
Other
Enumeration date
07/01/2019
Last updated
07/22/2024
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