Individual
MRS. ANGELICA FORMO KEECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC,NP-C
Contact information
Practice address
198 HWY 45 NORTH, PLYMOUTH, NC 27962
(252) 793-3023
(252) 791-3108
Mailing address
933 LOUISE AVE, CHARLOTTE, NC 28204-2147
(844) 866-1866
(704) 987-4250
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5006257
NC
363LW0102X
Women's Health Nurse Practitioner
5006257
NC
Other
Enumeration date
07/15/2013
Last updated
02/28/2024
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