Individual
NICOLE M SCACCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
420 PARK ST, BELMONT, NC 28012-3393
(704) 631-1820
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
18260
SC
363L00000X
Nurse Practitioner
Primary
5000972
NC
Other
Enumeration date
07/10/2006
Last updated
02/10/2023
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