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Individual

MRS. ALLYSSA MARIE TREADWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, CPNP-AC

Contact information

Practice address
10 DUKE MEDICINE CIR, DURHAM, NC 27710-1000
(919) 684-8111
Mailing address
5236 CHEDWORTH DR, CHARLOTTE, NC 28210-3704
(813) 245-6266

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
273424
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
5018037
NC

Other

Enumeration date
05/03/2023
Last updated
05/03/2023
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