Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 158983 | NC |
NPI | 1023346400 |
---|---|
Provider Name | Patricia Brown-Prestia |
First Address | Cary, NC 27518-7412 |
Second Address | Cary, NC 27518-7412 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2009 |
Last Update Date | 24/11/2009 |