Individual
EUGENIU VALERIU GHIDORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Mailing address
4324 BURCHARD DR, RALEIGH, NC 27616-8449
(919) 671-8170
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
250652
NC
363LF0000X
Family Nurse Practitioner
Primary
5009561
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2017
Last updated
12/09/2024
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