Individual
AUXILIADORA KRUPSKAYA VALDIVIEZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
101 W.T. HARRIS BLVD, SUITE 1213, CHARLOTTE, NC 28262-7007
(704) 549-8997
(704) 549-9197
Mailing address
3541 RANDOLPH RD, STE 303, CHARLOTTE, NC 28211-5122
(704) 333-0465
(704) 333-0466
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5003960
NC
Other
Enumeration date
04/22/2008
Last updated
12/10/2016
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