Individual provider · Type 1 NPI
Matthew Wrench Sr., AGPCNP-C
Gerontology Nurse Practitioner · Fuquay Varina, NC
NPI number
1689347619
Active
Practice location
2400 N Main St Ste 210
Fuquay Varina, NC 27526-8573
Fax (919) 341-3043
Mailing address
124 Teal Lake Dr
Holly Springs, NC 27540-8887
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 5014776 (NC) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 5014776 (NC) |
Gerontology Nurse Practitioner: Definition to come...
Other gerontology nurse practitioner providers in Fuquay Varina
About NPI 1689347619
Matthew Wrench Sr., AGPCNP-C's National Provider Identifier is 1689347619, issued on Jul 27, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Fuquay Varina, NC. The record was last updated on Oct 15, 2024.