Individual
LISA BORRELLI HERRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3396 CLOVERLEAF PKWY, KANNAPOLIS, NC 28083-6992
(704) 403-7740
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5018184
NC
363LF0000X
Family Nurse Practitioner
Primary
5018184
NC
363LP0200X
Pediatric Nurse Practitioner
5018184
NC
Other
Enumeration date
06/14/2023
Last updated
07/15/2024
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