Individual
NORMA HAWKINS KISIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1206 BROWN ST, WASHINGTON, NC 27889-4671
(252) 946-4134
(252) 946-2432
Mailing address
176 RIVERCREST DR, GREENVILLE, NC 27858-9300
(252) 946-4134
(252) 946-2432
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
300203
NC
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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