Individual
LOURDES DELACARIDAD OVIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4525 CAMERON VALLEY PKWY, STE 2100, CHARLOTTE, NC 28211-4369
(704) 355-5100
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5009371
NC
363LA2100X
Acute Care Nurse Practitioner
5009371
NC
363LA2200X
Adult Health Nurse Practitioner
5009371
NC
363LG0600X
Gerontology Nurse Practitioner
5009371
NC
Other
Enumeration date
03/14/2017
Last updated
07/15/2024
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