Individual
MARY ANNE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
4 GATES BANK RD, GATES, NC 27937-9734
(252) 357-8272
(530) 237-1565
Mailing address
4 GATES BANK RD, GATES, NC 27937-9734
(252) 357-8272
(530) 237-1565
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
0024178016
VA
363LP2300X
Primary Care Nurse Practitioner
Primary
5012020
NC
Other
Enumeration date
07/05/2019
Last updated
01/20/2025
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