Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | 5013303 | NC |
NPI | 1013530013 |
---|---|
Provider Name | Natasha Kenan |
First Address | Chapel Hill, NC 27599-7460 |
Second Address | Chapel Hill, NC 27599-7460 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2020 |
Last Update Date | 10/07/2020 |