Individual
MRS. KAITLIN GILLESPIE ZULETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGNP,
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
301297
NC
363L00000X
Nurse Practitioner
5018456
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5018456
NC
Other
Enumeration date
02/21/2023
Last updated
10/25/2023
Update your record
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