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Individual

MRS. TERI MARLA FRIEDMAN REID

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
313 MAIN ST, BAYBORO, NC 28515-2851
(252) 745-2070
Mailing address
PO BOX 416, BAYBORO, NC 28515-0416
(252) 745-2070
(252) 745-2202

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
300091
NC
363LP0200X
Pediatric Nurse Practitioner
9600080
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7004781
NC
Enumeration date
03/15/2006
Last updated
02/08/2023
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