Individual
MISTEE LARO FORMICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
106 LANGTREE VILLAGE DR STE 200, MOORESVILLE, NC 28117-7594
(704) 316-4830
(704) 316-4831
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
431
NC
367A00000X
Advanced Practice Midwife
APRN11026120
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7002155
—
NC
Enumeration date
06/10/2008
Last updated
01/19/2026
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