Materno, Carmen Lydia

Materno, Carmen Lydia is an individual health care provider with primary practice located at 509 N Brightleaf Blvd , Smithfield NC 27577-4407. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Neonatal Intensive Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Materno, Carmen Lydia can be contacted via phone (919) 784-2676.

Contact Information

Primary practice address
509 N Brightleaf Blvd Smithfield NC 27577-4407
Phone: (919) 784-2676
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neonatal Intensive Care 163WN0002X ARNP 2925302 Florida
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 2925302 Florida
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 5011425 North Carolina

Profile Details

NPI number 1588956122
LBN Legal business name Materno, Carmen Lydia
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2011
Last updated Aug 28th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588956122 NPPES
Florida Other ARNP 2925302 ARNP LICENSE

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