Individual
KRISTINA EVERHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 W MAIN ST, ROCKWELL, NC 28138-8471
(704) 279-1046
(704) 279-1603
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
323613
NC
363L00000X
Nurse Practitioner
Primary
5018765
NC
363LP2300X
Primary Care Nurse Practitioner
5018765
NC
Other
Enumeration date
05/12/2023
Last updated
11/28/2023
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