Individual
COURTNEY LEIGH SKARADZINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1901 RANDOLPH RD, CHARLOTTE, NC 28207-1101
(704) 384-5429
(704) 384-5424
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5017460
NC
363LF0000X
Family Nurse Practitioner
F08220444
NC
Other
Enumeration date
01/05/2023
Last updated
12/09/2024
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