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Individual

ANNETTE LAPE BREED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1380 COWELL FARM RD, WASHINGTON, NC 27889-3431
(252) 946-2101
Mailing address
103 S DIMOCK RD, WASHINGTON, NC 27889-3109
(252) 623-1157

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0001082157
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010373450
VA
05
7789254
VA
Enumeration date
07/28/2006
Last updated
05/01/2022
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