Individual
ELISABETH RECORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2605 BLUE RIDGE RD STE 240, RALEIGH, NC 27607-6475
(984) 222-8000
Mailing address
2605 BLUE RIDGE RD STE 240, RALEIGH, NC 27607-6475
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
286430
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
BRUB-N0AFD
NC
Other
Enumeration date
10/02/2021
Last updated
12/29/2022
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