Individual
MICHELLE DIANE PRIVETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2460 CURTIS ELLIS DR, ROCKY MOUNT, NC 27804-2237
(252) 962-3340
Mailing address
1001 LAURELWOOD DR, CLINTON, MS 39056-3616
(662) 380-0356
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5009154
NC
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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