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Individual

MS. LAUREN PAIGE NESTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, LMBT

Contact information

Practice address
113 PAGODA CT., HAMPSTEAD, NC 28443
(919) 500-2825
Mailing address
113 PAGODA CT., HAMPSTEAD, NC 28443
(919) 500-2825

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
244503
NC
225700000X
Massage Therapist
17781
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17781
LICENSED MASSAGE & BODYWORK THERAPIST
NC
01
244503
REGISTERED NURSE PERMANENT LICENSE
NC
Enumeration date
09/10/2020
Last updated
09/10/2020
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