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Individual
GRETCHEN NETHERTON
Active
Individual
GRETCHEN NETHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
212651
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0245J
NC HEALTH CHOICE
NC
05
—
890245J
—
NC
Enumeration date
12/01/2006
Last updated
11/02/2009
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