Individual
STACI G. STREETER-MOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
511 PALADIN DR, GREENVILLE, NC 27834-7826
(252) 752-8880
(252) 752-3084
Mailing address
511 PALADIN DRIVE, EASTERN NEPHROLOGY ASSOCIATES, PLLC, GREENVILLE, NC 27834-7826
(252) 752-8880
(252) 752-3084
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5004620
NC
Other
Enumeration date
02/04/2010
Last updated
09/15/2015
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