Individual
MRS. MINNIE LUE SUMERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-4100
Mailing address
PO BOX 6028, GREENVILLE, NC 27835-6028
(252) 847-4100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201459
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000347
—
NC
Enumeration date
03/13/2008
Last updated
09/12/2008
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