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Individual

DR. CARISSA HANEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, APRN-BC

Contact information

Practice address
1923 GRAY MEADOW DR, APEX, NC 27502-9513
(910) 907-7917
(910) 643-9548
Mailing address
1923 GRAY MEADOW DR, APEX, NC 27502-9513
(919) 480-9383
(910) 643-9548

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1009180
DC
363LF0000X
Family Nurse Practitioner
293043
NC
363LF0000X
Family Nurse Practitioner
Primary
5009459
NC
363LF0000X
Family Nurse Practitioner
AC003595
MD
363LF0000X
Family Nurse Practitioner
R177322
MD

Other

Enumeration date
03/30/2007
Last updated
02/07/2024
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