Individual
ANN J. HOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10650 PARK RD, CHARLOTTE, NC 28210-8538
(704) 667-3840
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5012296
NC
363LA2100X
Acute Care Nurse Practitioner
5012296
NC
363LG0600X
Gerontology Nurse Practitioner
5012296
NC
Other
Enumeration date
08/29/2019
Last updated
07/24/2024
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