Individual
CONSTANCE PASTERNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3803 N ELM ST, GREENSBORO, NC 27455-2593
(828) 450-0528
(336) 540-6156
Mailing address
9 HOMEWOOD DR, ASHEVILLE, NC 28803-1242
(828) 450-0528
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
244672
NC
163W00000X
Registered Nurse
478896-1
NY
363LA2200X
Adult Health Nurse Practitioner
303539
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
5005141
NC
363LG0600X
Gerontology Nurse Practitioner
340560
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02353657
—
NY
Enumeration date
01/03/2007
Last updated
06/16/2011
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