Individual
KATHRYN EMILY STOODT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2544 COURT DR STE F, GASTONIA, NC 28054-3450
(704) 864-8302
(704) 864-0228
Mailing address
15611 DEHAVILLAND DR, CHARLOTTE, NC 28278-7257
(546) 292-3189
(704) 971-0035
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5014089
NC
Other
Enumeration date
08/14/2020
Last updated
12/05/2023
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