Individual
EDNAH KWAMBOKA OYARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1525 DAVIE AVE, STATESVILLE, NC 28677-3517
(704) 873-5055
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
(704) 873-4277
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5011210
NC
Other
Enumeration date
10/23/2018
Last updated
11/30/2018
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