SearchNorth Carolina251S00000X

Angela Headen, CEO

NPI 1770956443 · on the registry since 2015 · sole proprietor

Practice

Address
1126 Vine Cliff Ln
Charlotte, NC 28214
Phone
(704) 822-0604
Fax
(704) 822-0604

Registry record

Primary taxonomy
251S00000X
251S00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-11-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina