Individual
MARTHA MARY BRINSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1918 RANDOLPH RD STE 275, CHARLOTTE, NC 28207-1109
(704) 384-1354
(704) 384-1374
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
900390
NC
Other
Enumeration date
08/02/2006
Last updated
11/05/2020
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