Individual
KRISTIE REYNOLDS CLONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4414 LAKE BOONE TRL STE 505, RALEIGH, NC 27607-7521
(919) 784-2300
Mailing address
4414 LAKE BOONE TRL STE 505, RALEIGH, NC 27607-7521
(919) 784-2300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0514420
NC
Other
Enumeration date
08/26/2014
Last updated
08/03/2024
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