Individual
MARY KATHLEEN MESSENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5370 RIDGE RD, CHARLOTTE, NC 28269-2298
(794) 316-1491
Mailing address
148 RIVER BIRCH CIR, MOORESVILLE, NC 28115-5758
(304) 692-1434
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5015355
NC
363LF0000X
Family Nurse Practitioner
Primary
5015355
NC
Other
Enumeration date
11/11/2021
Last updated
07/30/2024
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