Individual
LETHA MULLAMKUZHY JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 TREYBROOKE DR, MORRISVILLE, NC 27560-5503
(919) 610-4217
Mailing address
400 TREYBROOKE DR, MORRISVILLE, NC 27560-5503
(919) 467-3177
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5006560
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5006560
NC
363LG0600X
Gerontology Nurse Practitioner
5006560
NC
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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