Individual
HENRY MATTHEW VANPALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1631 MIDTOWN PL STE 101, RALEIGH, NC 27609-1300
(919) 977-1675
Mailing address
1631 MIDTOWN PL STE 101, RALEIGH, NC 27609-1300
(919) 977-1675
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5010294
NC
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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