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Individual

DR. BRIANNA NICOLE LICARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13620 REESE BLVD E STE 100, HUNTERSVILLE, NC 28078-6418
(704) 801-7330
Mailing address
251 ADMIRAL COCHRANE DR APT 2033, ANNAPOLIS, MD 21401-7591
(631) 291-2956

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5020596
NC

Other

Enumeration date
06/17/2024
Last updated
08/06/2024
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