Individual
BRENNAN PRIESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 PROVIDENCE RD, CHARLOTTE, NC 28207-1242
(704) 333-9113
Mailing address
130 PROVIDENCE RD, CHARLOTTE, NC 28207-1242
(704) 333-9113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
228463
TN
163W00000X
Registered Nurse
278242
NC
363LF0000X
Family Nurse Practitioner
Primary
PRIE-0IZWP
NC
Other
Enumeration date
11/12/2019
Last updated
10/28/2021
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