Organization · Type 2 NPI
Coastal Southeastern Family Practice, PLLC
Family Nurse Practitioner · Pembroke, NC
NPI number
1699067488
Active
Practice location
205 W 3rd St
Pembroke, NC 28372-8768
Fax (910) 521-0088
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 5005148 (NC) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
Other family nurse practitioner providers in Pembroke
About NPI 1699067488
Coastal Southeastern Family Practice, PLLC's National Provider Identifier is 1699067488, issued on May 11, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pembroke, NC. The record was last updated on Mar 7, 2017.