Individual
THANIA JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1122 RANDOLPH ST STE 110, THOMASVILLE, NC 27360-5730
(336) 474-3433
(336) 474-8165
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 474-3433
(336) 474-8165
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5008634
NC
363LF0000X
Family Nurse Practitioner
284266
NC
Other
Enumeration date
06/16/2016
Last updated
08/18/2021
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