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TANGULA LATRICE SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
501 HICKORY BRANCH RD, GREENSBORO, NC 27409-9601
(336) 878-2260
(336) 878-2277
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5005889
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7006403
NC
Enumeration date
10/30/2012
Last updated
08/04/2022
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