Individual
KATHERINE ROSA DEMEULENAERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
781 AVENT FERRY RD STE 102, HOLLY SPRINGS, NC 27540-7776
(919) 567-6120
Mailing address
781 AVENT FERRY RD STE 102, HOLLY SPRINGS, NC 27540-7776
(919) 567-6120
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041438860
IL
363LF0000X
Family Nurse Practitioner
209019277
IL
363LF0000X
Family Nurse Practitioner
Primary
5015254
NC
Other
Enumeration date
04/09/2019
Last updated
03/30/2023
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