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NPI 1215445317

NPI 1215445317 : KATHERINE ANNE ALWES FNP : SNEADS FERRY, NC

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General NPI Number Information
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    NPI Number           |    1215445317
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    Entity Type          |    Individual 
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    Provider Name        |    KATHERINE ANNE ALWES FNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/11/2018
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    Last Update Date     |    11/02/2023
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Provider Practice Location Address
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    Address Line         |    108 LAKESIDE DR 
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    City                 |    SNEADS FERRY
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    State                |    NC
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    Zip                  |    28460-9415
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    Country              |    US
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    Telephone            |    910-327-5437
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    Fax                  |    910-327-5436
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Provider Business Mailing Address
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    Address Line         |    PO BOX 986513 DEPARTMENT 100
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    City                 |    BOSTON
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    State                |    MA
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    Zip                  |    02298-6513
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    Country              |    US
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    Telephone            |    910-219-8326
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    Fax                  |    910-939-4269
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    5010170
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    License Number State |    NC
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