Individual
LYELA CHANEL SULLENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
205 PAGE RD, PINEHURST, NC 28374
(910) 235-3139
Mailing address
205 PAGE RD, PINEHURST, NC 28374
(910) 235-3139
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
892959
TX
363LF0000X
Family Nurse Practitioner
Primary
5021006
NC
Other
Enumeration date
08/07/2023
Last updated
10/31/2024
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