Individual
MRS. KATARZYNA ANNA QUTERMOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CNL, FNP-C
Contact information
Practice address
515 LAKE CONCORD RD NE, CONCORD, NC 28025-2925
(704) 784-4494
Mailing address
11016 HERITAGE GREEN DR, CORNELIUS, NC 28031-7408
(704) 408-2224
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
193053
NC
363LF0000X
Family Nurse Practitioner
Primary
5010306
NC
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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