Individual
MRS. BRANDY MICHELLE FAUCETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
704 ROLLING RD, HAW RIVER, NC 27258-9690
(336) 512-5854
Mailing address
704 ROLLING RD, HAW RIVER, NC 27258-9690
(336) 512-5854
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
FAUC-4VV2Y
NC
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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