Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 5005134 | NC |
NPI | 1003106956 |
---|---|
Provider Name | Rachel Irving Almond |
First Address | Supply, NC 28462-4088 |
Second Address | Supply, NC 28462-4088 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2011 |
Last Update Date | 13/12/2012 |