Individual
MR. MATTHEW WRENCH SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGPCNP-C
Contact information
Practice address
2400 N MAIN ST STE 210, FUQUAY VARINA, NC 27526-8573
(919) 235-6501
(919) 341-3043
Mailing address
124 TEAL LAKE DR, HOLLY SPRINGS, NC 27540-8887
(919) 369-2439
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
5014776
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
5014776
NC
Other
Enumeration date
07/27/2021
Last updated
10/15/2024
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