Individual
SAMTA ASHOK BHAKTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
6402 MCCRIMMON PKWY, MORRISVILLE, NC 27560-8138
(910) 893-9700
Mailing address
350 PINE STATE ST, LILLINGTON, NC 27546-9428
(910) 893-9700
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
250413
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5006444
NC
Other
Enumeration date
07/09/2009
Last updated
03/03/2023
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