Individual
MRS. STEPHANIE GURGANUS NIEDZWIECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2800 BLUE RIDGE RD STE 300, RALEIGH, NC 27607-6476
(919) 784-7874
Mailing address
2800 BLUE RIDGE RD STE 300, RALEIGH, NC 27607-6476
(919) 784-7874
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5007311
NC
Other
Enumeration date
11/12/2014
Last updated
10/15/2018
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