Individual
LAUREL REJEANA FISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5005933
NC
363LA2100X
Acute Care Nurse Practitioner
NP-1365A
ID
Other
Enumeration date
11/19/2012
Last updated
06/09/2016
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