Individual
AOIBHEANN FALLOW TESTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9805 ROCKY RIVER RD, CHARLOTTE, NC 28215-8922
(704) 494-3466
Mailing address
9805 ROCKY RIVER RD, CHARLOTTE, NC 28215-8922
(704) 494-3466
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5013512
NC
Other
Enumeration date
09/04/2020
Last updated
03/21/2021
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