Individual
ELIZABETH RENEE EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2311 CANTERWOOD DR, WILMINGTON, NC 28401-7300
(910) 726-8500
Mailing address
2311 CANTERWOOD DR, WILMINGTON, NC 28401-7300
(910) 726-8500
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5017627
NC
Other
Enumeration date
02/08/2023
Last updated
07/02/2024
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