Individual
MS. COURTNEY ALLISON QUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1411 GREENWAY CT, SANFORD, NC 27330-6954
(919) 776-3750
(919) 776-3760
Mailing address
1411 GREENWAY CT, SANFORD, NC 27330-6954
(919) 776-3750
(919) 776-3760
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5004416
NC
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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