Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 5010336 | NC |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 5010336 | NC |
NPI | 1508368150 |
---|---|
Provider Name | Andrea Eudy |
First Address | Salisbury, NC 28144-2705 |
Second Address | Salisbury, NC 28144-2732 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2018 |
Last Update Date | 18/03/2020 |