Individual
MISS CAROL ELAINE GUNDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
485 VALLEY RD, MOCKSVILLE, NC 27028-2074
(336) 751-8000
(336) 751-8010
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 751-8000
(336) 751-8010
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201370
NC
363LF0000X
Family Nurse Practitioner
89737
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZF0000113
—
NC
Enumeration date
09/13/2005
Last updated
07/10/2013
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