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Individual

HEATHER ANN NODELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
8820 UNIVERSITY EAST DR, CHARLOTTE, NC 28213-4218
(704) 921-1000
Mailing address
8820 UNIVERSITY EAST DR, CHARLOTTE, NC 28213-4218
(704) 921-1000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02632
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8102778
NC
Enumeration date
08/02/2006
Last updated
01/05/2015
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