Individual
MARY CARROLL SEPKOWITZ
Active
Individual
MARY CARROLL SEPKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP, CNM
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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