Athena Markella Kortesis NURSE PRACTITIONER

NPI 1407095631 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1407095631
Gender Female
Enumeration Date 02/11/2009
Last Updated 04/07/2011
Entity Type Individual
Active Over 7 years ago
Practice Location
10620 PARK RD
SUITE 128
CHARLOTTE NC, 28210-0106, US
Phone (704) 542-6111
Fax (704) 542-1239
Business Location
10620 PARK RD
SUITE 128
CHARLOTTE NC, 28210-0106, US
Phone (704) 542-6111
Fax (704) 542-1239
Toxanomy
Taxonomy Code 363LA2200X
License State North Carolina
License Number 5004285
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According to our database, Ms. Athena Markella Kortesis NURSE PRACTITIONER NPI is 1407095631, taxonomy code is 363LA2200X and license number is 5004285, license state is located at North Carolina. Athena Markella Kortesis NURSE PRACTITIONER physically located at 10620 Park Rd, Charlotte NC, 28210-0106. NPI Number Athena Markella Kortesis NURSE PRACTITIONER has the Individual type.

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1407095631 NPI number is provided on an as is basis without warranty of any kind. 1407095631 is maintained by the National Plan & Provider Enumeration System. The contents of Athena Markella Kortesis NURSE PRACTITIONER are for informational purposes only.