Individual
KATHERINE N WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
15 REGIONAL DR, PINEHURST, NC 28374-8850
(910) 295-9207
(910) 235-3432
Mailing address
205 PAGE RD, PINEHURST, NC 28374-8749
(910) 295-5511
(910) 235-3432
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5008045
NC
Other
Enumeration date
10/01/2015
Last updated
02/09/2016
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