Individual
MARIA ALEXANDRA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
805 CHURCH STREET NORTH, SUITE 308, CONCORD, NC 28025
(704) 262-1059
Mailing address
1433 CHIMNEY ROCK CT, CHARLOTTE, NC 28262-4235
(704) 497-4302
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5007973
NC
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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