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Individual

LISA BUFFALOE FIELDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, RN, CNS,

Contact information

Practice address
1618 US 1 HWY, YOUNGSVILLE, NC 27596-9219
(919) 562-9922
(919) 562-9917
Mailing address
1618 US 1 HWY, YOUNGSVILLE, NC 27596-9219
(919) 562-9922
(919) 562-9917

Taxonomy

Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
116174
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6004057
NC
Enumeration date
02/20/2007
Last updated
11/29/2012
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