Individual
RAQUEL QUEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, NP-C
Contact information
Practice address
6911 LAKESIDE DR, CHARLOTTE, NC 28215-4018
(203) 893-2864
Mailing address
6911 LAKESIDE DR, CHARLOTTE, NC 28215-4018
(203) 893-2864
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71004072A
IN
363LP2300X
Primary Care Nurse Practitioner
Primary
5020617
NC
Other
Enumeration date
08/31/2012
Last updated
09/18/2024
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