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Individual

DORIS JEAN LANDRETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-3421
(910) 343-3802
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(919) 341-3421
(910) 343-3802

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP020366
PA
363LF0000X
Family Nurse Practitioner
336901
NY
363LF0000X
Family Nurse Practitioner
Primary
5017607
NC

Other

Enumeration date
07/09/2011
Last updated
03/06/2024
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