Individual
HEATHER DAWN DETRIZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
8420 UNIVERSITY EXEC PARK DR STE 850, CHARLOTTE, NC 28262-8905
(704) 384-1225
(704) 384-1226
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5013481
NC
Other
Enumeration date
08/19/2020
Last updated
06/26/2023
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