Individual
DARREN MESIBOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
55 BUCKEYE COVE RD, CANTON, NC 28716-4511
(828) 648-0282
Mailing address
55 BUCKEYE COVE RD, CANTON, NC 28716-4511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5010079
NC
363LF0000X
Family Nurse Practitioner
Primary
5010079
NC
Other
Enumeration date
11/29/2017
Last updated
01/04/2022
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