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Individual

KATHRYN FANSLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2029 VALLEYGATE DR STE 101, FAYETTEVILLE, NC 28304-3688
(910) 323-2103
(910) 323-2219
Mailing address
2029 VALLEYGATE DR STE 101, FAYETTEVILLE, NC 28304-3688
(910) 323-2103
(910) 323-2219

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
228260
NC
163WX0002X
High-Risk Obstetric Registered Nurse
Primary
228260
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
228260
NORTH CAROLINA BOARD OF NURSING
NC
Enumeration date
09/18/2009
Last updated
09/18/2009
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