Individual
NAM VO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 KILDAIRE PARK DR STE 205, CARY, NC 27518-8144
(919) 787-7246
(919) 787-7247
Mailing address
3801 WAKE FOREST RD STE 210, RALEIGH, NC 27609-6864
(919) 787-7246
(919) 787-7247
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06250494
NC
Other
Enumeration date
07/03/2025
Last updated
07/12/2025
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