Individual
LUCY SEAGRAVES MAGDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 REXWOODS DR STE 140, RALEIGH, NC 27607-3361
(704) 360-3637
(704) 323-5710
Mailing address
2300 REXWOODS DR STE 140, RALEIGH, NC 27607-3361
(704) 360-3637
(704) 323-5710
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
238495
TN
363L00000X
Nurse Practitioner
5016653
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5016653
NC
Other
Enumeration date
08/18/2021
Last updated
08/27/2024
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