Individual
EVA MAE STASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3500 MOUNT HOLLY HUNTERSVILLE RD, STE 200, CHARLOTTE, NC 28216-8644
(704) 399-7800
(704) 399-7717
Mailing address
11216 STONY PATH DR, CHARLOTTE, NC 28214-9287
(704) 391-2866
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201604
NC
Other
Enumeration date
06/27/2005
Last updated
07/08/2007
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