Individual
DAVID J MEMMOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2340 SPRING FOREST RD, RALEIGH, NC 27615-7528
(702) 656-0016
(702) 933-8690
Mailing address
2340 SPRING FOREST RD, RALEIGH, NC 27615-7528
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5017310
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891978607
—
NV
Enumeration date
12/14/2007
Last updated
04/23/2025
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