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Individual

KAY ELAINE TIMBREZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
1126 GARDEN CLUB WAY, LELAND, NC 28451-4133
(910) 232-0190
Mailing address
1126 GARDEN CLUB WAY, LELAND, NC 28451-4133
(910) 232-0190

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
157861
NC
363LN0005X
Critical Care Neonatal Nurse Practitioner
541723
TX

Other

Enumeration date
09/03/2008
Last updated
09/03/2008
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