Individual provider · Type 1 NPI
Misty Moore Reagan, NP-C
Adult Health Nurse Practitioner · Charlotte, NC
NPI number
1932686128
Active
Practice location
10130 Perimeter Pkwy Ste 200
Charlotte, NC 28216
Fax (855) 857-7333
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 0024176970 (VA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 5010842 (NC) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1932686128
Misty Moore Reagan, NP-C's National Provider Identifier is 1932686128, issued on Jul 20, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Charlotte, NC. The record was last updated on Dec 13, 2018.