Whalio Doctors

NPI 1063255099

Brianna Nicole Licari

Practitioner Nurse Practitioner Huntersville, NC

Practice location

Address
13620 Reese Blvd E STE 100, Huntersville, NC 28078-6418
Phone
(704) 801-7330
Mailing address
251 Admiral Cochrane Dr APT 2033, Annapolis, MD 21401-7591

Registered specialties

Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 5020596 (NC)

Registry record

NPI
1063255099
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Jun 2024
Record last updated
6 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.