person
Maryellen C Lane, NNP
Neonatal Nurse Practitioner in Pinehurst, North Carolina
NPI 1578502134

Maryellen C Lane is a Neonatal Nurse Practitioner based in Pinehurst, NC and is specialized in Neonatal. Maryellen C Lane practices in Pinehurst, NC and has the professional credentials of NNP. The NPI Number for Maryellen C Lane is 1578502134 and holds a License No. 123435 (North Carolina).

The current practice location address for Maryellen C Lane is 155 Memorial Dr, Pinehurst, NC and can be reached out via phone at 910-715-2085 and via fax at 910-715-1237.

Location: 155 Memorial Dr, Pinehurst, NC, 28374-3000
person
Provider Profile Details
NPI Number
1578502134
Provider Name
Maryellen C Lane
Credential
NNP
Provider Entity Type
Individual
Gender
Female
Address
155 Memorial Dr, Pinehurst, NC, 28374-3000
Phone Number
910-715-2085
Fax Number
910-715-1237
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7000353 05 NC
institution
Provider Business Practice Location Address Details
Address
155 Memorial Dr
City
State
Zip
28374-8710
Phone Number
910-715-2085
Fax Number
910-715-1237
person
Provider Business Mailing Address Details
Address
155 Memorial Dr
City
State
Zip
28374-8710
Phone Number
910-715-2085
Fax Number
910-715-1237
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
123435 (North Carolina)
Definition
Definition to come...
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