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Individual

CARLI MADISON GASTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
5970 FAIRVIEW RD STE 430, CHARLOTTE, NC 28210-3117
(704) 503-9884
Mailing address
5970 FAIRVIEW RD STE 430, CHARLOTTE, NC 28210-3117
(704) 503-9884

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
266186
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023126515
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5018689
NC

Other

Enumeration date
08/02/2023
Last updated
10/07/2024
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