Dr KATHLEEN H PRUSSIAN is a female medical professional, specializing in Nurse Practitioner. She graduated in 2006 from University Of North Carolina At Chapel Hill School Of Medicine.
FHPG LLC
3349 US 1 HWY
VASS
NC
28394
Tel: 9102457678
| Npi | 1629136841 |
| Pac Id | 0941370076 |
| Professional Enrollment Id | I20080602000539 |
| Last Name | PRUSSIAN |
| First Name | KATHLEEN |
| Middle Name | H |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | FHPG LLC |
| Group Practice Pac Id | 9537481569 |
| Number Of Group Practice Members | 125 |
| Line 1 Street Address | 3349 US 1 HWY |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | VASS |
| State | NC |
| Zip Code | 28394 |
| Phone Number | 9102457678 |
| Hospital Affiliation Ccn 1 | 340115 |
| Hospital Affiliation Lbn 1 | FIRSTHEALTH MOORE REGIONAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 340020 |
| Hospital Affiliation Lbn 2 | CENTRAL CAROLINA HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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