Individual
ANDREA KRISTINA FORETNBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1895 E DIXON BLVD, SHELBY, NC 28152-6901
(704) 466-3970
(704) 600-6011
Mailing address
1895 EAST DIXON BLVD SHELBY NC 28152, SHELBY, NC 28152
(704) 466-3970
(704) 600-6011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
195467NC
NC
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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