Marie Krider Lively, PNP-PC

NPI #1245982891 in Denver, North Carolina

Provider Information

NPI Number
1245982891
Entity Type
Individual
Name
Marie Krider Lively, PNP-PC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Pediatrics
Credential
PNP-PC
Enumeration Date
Jan 25, 2022
Last Updated
Jan 25, 2022

Practice Location

Address
635 N NC 16 BUSINESS HWY
City
Denver
ZIP Code
28037-7574
Phone
(704) 489-8401

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - PediatricsPediatrics

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