Individual
KRYSTAL LEIA MERIDETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
390 US HIGHWAY 70 WEST, HAVELOCK, NC 28532
(252) 652-2046
Mailing address
1500 1ST AVE N UNIT 3, BIRMINGHAM, AL 35203-1866
(205) 545-5088
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
251689
NC
Other
Enumeration date
08/01/2023
Last updated
08/21/2023
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