Individual provider · Type 1 NPI
Marie Krider Lively, PNP-PC
Pediatric Nurse Practitioner · Denver, NC
NPI number
1245982891
Active
Practice location
635 N Nc 16 Business Hwy
Denver, NC 28037-7574
Mailing address
3117 Windsor Dr
Charlotte, NC 28209-3349
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 5015657 (NC) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
Other pediatric nurse practitioner providers in Denver
About NPI 1245982891
Marie Krider Lively, PNP-PC's National Provider Identifier is 1245982891, issued on Jan 25, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Denver, NC. The record was last updated on Jan 25, 2022.