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Individual

CARMEN LYDIA MATERNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
509 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4407
(919) 784-2676
Mailing address
509 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4407
(919) 784-2676

Taxonomy

Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
ARNP 2925302
FL
363LN0000X
Neonatal Nurse Practitioner
2925302
FL
363LN0000X
Neonatal Nurse Practitioner
Primary
5011425
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ARNP 2925302
ARNP LICENSE
FL
Enumeration date
05/13/2011
Last updated
08/28/2019
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