Individual
MISS ADELEH NA KOOSHKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
610 N FAYETTEVILLE ST, SUITE 300, ASHEBORO, NC 27203
(336) 633-4020
(336) 633-4069
Mailing address
10130 PERIMETER PKWY STE 200, CHARLOTTE, NC 28216-0197
(888) 849-7379
(855) 857-7333
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5004911
NC
Other
Enumeration date
08/05/2010
Last updated
09/06/2018
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