Individual
ABIGAIL ROSE SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
240 HOSPITAL DR NE, BOLIVIA, NC 28422-8346
(910) 721-1700
Mailing address
7056 WHITE BRIDGE LN SE, LELAND, NC 28451-7798
(910) 620-1184
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
PENDING
NC
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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