Individual
MS. MARY ANN TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5014125
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5014125
NC
Other
Enumeration date
06/27/2020
Last updated
11/13/2024
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