Individual
ROSA BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 PHYSICIANS DR, SUITE B, WILMINGTON, NC 28401-7356
(910) 662-8300
Mailing address
1520 PHYSICIANS DR, SUITE B, WILMINGTON, NC 28401-7356
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5010899
NC
Other
Enumeration date
10/03/2006
Last updated
10/26/2020
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