Individual
MARY MITCHELL NICOLETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 E GREEN DR, HIGH POINT, NC 27260-6700
(336) 641-7802
Mailing address
501 E GREEN DR, HIGH POINT, NC 27260-6700
(336) 402-8750
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
82114
NC
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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