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Marie Krider Lively, PNP-PC
Pediatric Nurse Practitioner in Denver, North Carolina
NPI 1245982891

Marie Krider Lively is a Pediatric Nurse Practitioner based in Charlotte, NC and is specialized in Pediatrics. Marie Krider Lively practices in Denver, NC and has the professional credentials of PNP-PC. The NPI Number for Marie Krider Lively is 1245982891 and holds a License No. 5015657 (North Carolina).

The current practice location address for Marie Krider Lively is 635 N Nc 16 Business Hwy, Denver, NC and can be reached out via phone at 704-489-8401.

Location: 635 N Nc 16 Business Hwy, Denver, NC, 28209-3349
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245982891
Provider Name
Marie Krider Lively
Credential
PNP-PC
Provider Entity Type
Individual
Gender
Female
Address
635 N Nc 16 Business Hwy, Denver, NC, 28209-3349
Phone Number
704-489-8401
Fax Number
Provider Enumeration Date
01/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
635 N Nc 16 Business Hwy
City
Denver
State
North Carolina
Zip
28037-7574
Phone Number
704-489-8401
Fax Number
person
Provider Business Mailing Address Details
Address
635 N Nc 16 Business Hwy
City
Denver
State
North Carolina
Zip
28037-7574
Phone Number
704-489-8401
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
5015657 (North Carolina)
Definition
Definition to come...
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