Individual provider · Type 1 NPI

Avitus Maroba Itoe

Family Nurse Practitioner · Fayetteville, NC

NPI number 1669952495 Active

Practice location

4155 Ferncreek Dr
Fayetteville, NC 28314-2581

Fax (910) 920-4313

Mailing address

3632 Luton Ct
Charlotte, NC 28262-2648

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X5010863 (NC)

Family Nurse Practitioner: Definition to come...

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About NPI 1669952495

Avitus Maroba Itoe's National Provider Identifier is 1669952495, issued on Aug 21, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fayetteville, NC. The record was last updated on Aug 21, 2018.