Individual
MARY CARROLL SEPKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP, CNM
Contact information
Practice address
1420 FERN CREEK DR, STATESVILLE, NC 28625-9376
(704) 380-3722
Mailing address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
712534
CA
163WM0102X
Maternal Newborn Registered Nurse
177696
NC
363LF0000X
Family Nurse Practitioner
5004870
NC
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
NP 18547
CA
367A00000X
Advanced Practice Midwife
Primary
802
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004569
—
NC
Enumeration date
02/13/2008
Last updated
12/04/2024
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