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Individual

ANGELA DECARLA SALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
4100 CARMEL RD, CHARLOTTE, NC 28226-6150
(704) 542-9210
Mailing address
4100 CARMEL RD, CHARLOTTE, NC 28226-6150
(704) 542-9210

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5010301
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200932140
IN
01
71002719A
NP LICENSURE
IN
01
CA6833
RAILROAD GROUP
IN
01
P00737275
RAILROAD INDIVIDUAL
IN
Enumeration date
09/11/2008
Last updated
02/28/2018
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