Individual
KA BLIA NICKY LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
501 N MAIN ST, SALISBURY, NC 28144-4303
(980) 330-6808
(980) 330-6938
Mailing address
PO BOX 604050, CHARLOTTE, NC 28260-4050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F06201912
NC
363LF0000X
Family Nurse Practitioner
F06201912
NC
Other
Enumeration date
07/09/2020
Last updated
08/12/2022
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