Individual
DIANE TRUSILAR HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4525 CAMERON VALLEY PKWY, CHARLOTTE, NC 28211-4369
(704) 302-8810
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5006127
NC
363LF0000X
Family Nurse Practitioner
5006127
NC
Other
Enumeration date
03/26/2013
Last updated
07/16/2024
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