Individual
CAROLYN ARLETTE LEITZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
309 PINEYWOOD RD, THOMASVILLE, NC 27360-3438
(336) 475-8121
(336) 475-5377
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011566
NC
363LF0000X
Family Nurse Practitioner
95007770
CA
363LP2300X
Primary Care Nurse Practitioner
501156
NC
Other
Enumeration date
04/23/2018
Last updated
04/11/2022
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