Individual
NICOLE LATULIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1614 NC-56, CREEDMOOR, NC 27522
(919) 575-6103
Mailing address
1010 COLLEGE ST, OXFORD, NC 27565-2507
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5020624
NC
Other
Enumeration date
03/25/2021
Last updated
09/10/2024
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