Individual
MISTY MOORE REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
10130 PERIMETER PKWY STE 200, CHARLOTTE, NC 28216
(800) 849-7379
(855) 857-7333
Mailing address
10130 PERIMETER PKWY STE 200, CHARLOTTE, NC 28216-0197
(888) 849-7379
(855) 857-7333
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0024176970
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
5010842
NC
Other
Enumeration date
07/20/2018
Last updated
12/13/2018
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