Individual
MRS. KATHERINE JOAN BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1520 PHYSICIANS DR, WILMINGTON, NC 28401-7356
(910) 662-8300
(910) 662-8361
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 662-8300
(910) 662-8361
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5014739
NC
Other
Enumeration date
07/20/2021
Last updated
10/20/2021
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