Individual
KATHERINE LYNN RUSSELL-LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1509 DOCTORS CIR, BLDG C, WILMINGTON, NC 28401-7403
(910) 662-7550
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5013009
NC
Other
Enumeration date
03/19/2020
Last updated
08/02/2024
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