Individual
ANTHONY JAMES MIGNANELLI II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1900 RANDOLPH RD, SUITE 900, CHARLOTTE, NC 28207-1122
(704) 377-2424
(704) 377-2687
Mailing address
1900 RANDOLPH RD, SUITE 900, CHARLOTTE, NC 28207-1122
(704) 377-2424
(704) 377-2687
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5005876
NC
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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