Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 5014495 | NC |
NPI | 1548837925 |
---|---|
Provider Name | Hannah King |
First Address | Raleigh, NC 27605-3341 |
Second Address | Raleigh, NC 27605-3341 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2021 |
Last Update Date | 05/06/2021 |