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Individual

ALYSSA MARIE KIANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGNP

Contact information

Practice address
2417 ATRIUM DR STE 150, RALEIGH, NC 27607-6673
(919) 791-2040
Mailing address
2417 ATRIUM DR STE 150, RALEIGH, NC 27607-6673
(919) 791-2040

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5014582
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/23/2020
Last updated
08/24/2021
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