Individual
HOLLY ELIZABETH WENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
300 ASHVILLE AVE STE 301, CARY, NC 27518-8682
(984) 974-9200
Mailing address
300 ASHVILLE AVE STE 301, CARY, NC 27518-8682
(984) 974-9200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5008829
NC
363LA2200X
Adult Health Nurse Practitioner
5008829
NC
363LG0600X
Gerontology Nurse Practitioner
5008829
NC
Other
Enumeration date
08/15/2016
Last updated
10/04/2016
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