Individual
MRS. ANDREA NOELLE HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1309 MEDICAL DR, FAYETTEVILLE, NC 28304-4422
(910) 437-5130
Mailing address
1309 MEDICAL DR, FAYETTEVILLE, NC 28304-4422
(910) 437-5130
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03119
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8101216
—
NC
Enumeration date
11/17/2011
Last updated
03/15/2012
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