Individual
AMY AGNES VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9915 PARK CEDAR DR, CHARLOTTE, NC 28210-8905
(704) 544-3263
Mailing address
9915 PARK CEDAR DR, CHARLOTTE, NC 28210-8905
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5018136
NC
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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