Individual
MRS. CHANTELLE NICOLLE GUTHRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
301 S CAMPBELL ST, BURGAW, NC 28425-5011
(910) 259-5721
Mailing address
301S CAMPBELL ST, BURGAW, NC 28425-5011
(910) 259-5721
(910) 259-8002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5007931
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5007931
NCBON
NC
Enumeration date
08/31/2015
Last updated
09/25/2015
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