Individual
NICOLE CLAIRE KUSMIERZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
16717 HIGHWAY 17 N, SUITE 206, HAMPSTEAD, NC 28443
(910) 270-0052
(910) 270-0660
Mailing address
128 RANSOM DR, HAMPSTEAD, NC 28443-6007
(970) 485-3136
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5015145
NC
Other
Enumeration date
10/28/2021
Last updated
12/02/2021
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