Individual
MICHAEL WILLIAM WASOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3815 CONLON WAY, ELIZABETH CITY, NC 27909
(252) 580-2002
Mailing address
PO BOX 2789, KITTY HAWK, NC 27949-2789
(928) 231-1859
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5011826
NC
363LF0000X
Family Nurse Practitioner
AP7739
AZ
Other
Enumeration date
08/14/2014
Last updated
03/27/2025
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