Individual
MS. IRENE NYAKENYANYA MACHUKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3803 N ELM ST, GREENSBORO, NC 27455-2593
(336) 540-7075
Mailing address
2701 AMBER CREST DR, GASTONIA, NC 28052-3732
(919) 478-2437
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5007379
NC
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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