Individual
EVINA LUSTRIA NONATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
3411 GRAYSTONE PL SE, CONOVER, NC 28613-8200
(828) 328-1118
(828) 328-1119
Mailing address
P.O. BOX 1347, HICKORY, NC 28603
(828) 328-1118
(828) 328-1119
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5007639
NC
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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