institution
Coastal Southeastern Family Practice, Pllc
Family Nurse Practitioner in Pembroke, North Carolina
NPI 1699067488

Coastal Southeastern Family Practice, Pllc is a Family Nurse Practitioner based in Pembroke, NC and is specialized in Family. Coastal Southeastern Family Practice, Pllc practices in Pembroke, NC. The NPI Number for Coastal Southeastern Family Practice, Pllc is 1699067488 and holds a License No. 5005148 (North Carolina).

The current practice location address for Coastal Southeastern Family Practice, Pllc is 205 W 3Rd St, Pembroke, NC and can be reached out via phone at 910-521-0099 and via fax at 910-521-0088.

Location: 205 W 3Rd St, Pembroke, NC, 28372-8768
institution
Provider Profile Details
NPI Number
1699067488
Provider Name
Coastal Southeastern Family Practice, Pllc
Credential
Provider Entity Type
Organization
Address
205 W 3Rd St, Pembroke, NC, 28372-8768
Phone Number
910-521-0099
Fax Number
910-521-0088
Provider Enumeration Date
05/11/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
205 W 3Rd St
City
State
Zip
28372-8768
Phone Number
910-521-0099
Fax Number
910-521-0088
person
Provider Business Mailing Address Details
Address
205 W 3Rd St
City
State
Zip
28372-8768
Phone Number
910-521-0099
Fax Number
910-521-0088
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
5005148 (North Carolina)
Definition
Definition to come...
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