Individual
LIZETH JOANNA REGO BANUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2340 SPRING FOREST RD, RALEIGH, NC 27615-7528
(866) 398-2727
Mailing address
436 AIRPORT RD, ARDEN, NC 28704-8403
(828) 650-7282
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
31760
SC
363L00000X
Nurse Practitioner
Primary
5019618
NC
363LF0000X
Family Nurse Practitioner
0024196821
VA
363LF0000X
Family Nurse Practitioner
APN0000022625
TN
363LF0000X
Family Nurse Practitioner
NP004143
GA
Other
Enumeration date
05/25/2017
Last updated
04/09/2026
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