Individual
HANNA EDMISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 SPRING GARDEN ST, GREENSBORO, NC 27412-8303
(336) 334-5000
Mailing address
10606 TROLLEY RUN DR, CORNELIUS, NC 28031-8303
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
317799
NC
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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