Individual
ALYSSA MARIE DAQUISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 PARK RD STE 450, CHARLOTTE, NC 28209-3238
(980) 880-3899
Mailing address
4600 PARK RD STE 450, CHARLOTTE, NC 28209-3238
(980) 880-3899
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5019988
NC
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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