Individual
ANDRAE CAMERON DEWEESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
511 PALADIN DR, GREENVILLE, NC 27834-7826
(252) 752-8880
Mailing address
1149 MULBERRY LN APT 39F, GREENVILLE, NC 27858-5819
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
243317
SC
363L00000X
Nurse Practitioner
Primary
5018639
NC
363LF0000X
Family Nurse Practitioner
5018639
NC
Other
Enumeration date
11/20/2019
Last updated
03/03/2025
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