Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Informatics |
364SI0800X | 89 | Certified Clinical Nurse Specialist |
| NPI Number | 1376239590 |
| LBN Legal business name | GOLDSBORO CTC |
| Authorized official | LOUIS GAGLIANO - (MEDICAL DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/12/2023 |
| Last updated | 04/12/2023 - About 3 years ago |
| Identifiers | n/a |
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