Individual
MRS. TRISHA ANN DMYTRUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11840 SOUTHMORE DR STE 100, CHARLOTTE, NC 28277-4821
(704) 316-4440
(704) 316-4441
Mailing address
12615 KANE ALEXANDER DR, HUNTERSVILLE, NC 28078-3753
(704) 947-7925
(704) 316-6773
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
DMYT-D80B68
NC
Other
Enumeration date
06/27/2017
Last updated
06/16/2018
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