Individual
KAYLA MARIE MARCINIZYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1054 BURRAGE RD NE, CONCORD, NC 28025-2910
(704) 403-7800
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5015935
NC
363LF0000X
Family Nurse Practitioner
Primary
5015935
NC
Other
Enumeration date
02/07/2022
Last updated
07/15/2024
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