Individual
MS. MIA LEKENDRA PETERSON SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
105 MARK DR, EDENTON, NC 27932-1704
(252) 482-3047
Mailing address
105 MARK DR, EDENTON, NC 27932-1704
(252) 482-3047
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
NC
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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