Individual
LANA S KUENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2406 BLUE RIDGE RD, SUITE 100, RALEIGH, NC 27607-6678
(919) 786-5001
(919) 786-5051
Mailing address
104 EAGLE SPRINGS CT, HOLLY SPRINGS, NC 27540-6444
(919) 740-0632
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
142877
NC
363LF0000X
Family Nurse Practitioner
142877
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142877
NC LICENSE
NC
05
—
7006094
—
NC
Enumeration date
02/07/2007
Last updated
03/06/2017
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