Individual
BRENDA LEE GARTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 RED QUARTZ DR, RALEIGH, NC 27610-5634
(917) 202-2259
Mailing address
2000 RED QUARTZ DR, RALEIGH, NC 27610-5634
(917) 202-2259
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F05190145
NC
Other
Enumeration date
12/21/2019
Last updated
12/21/2019
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