Individual
AVA MARITATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11635 NORTHPARK DR STE 200, WAKE FOREST, NC 27587-9350
(919) 570-6060
Mailing address
11635 NORTHPARK DR STE 200, WAKE FOREST, NC 27587-9350
(919) 570-6060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5014555
NC
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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