Provider Demographics
NPI:1659819001
Name:KIRSCHER, CORAL D (FNP-C)
Entity Type:Individual
Prefix:
First Name:CORAL
Middle Name:D
Last Name:KIRSCHER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CORAL
Other - Middle Name:D
Other - Last Name:BRUSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:PO BOX 1845
Mailing Address - Street 2:
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28687-1845
Mailing Address - Country:US
Mailing Address - Phone:704-663-1282
Mailing Address - Fax:704-663-1413
Practice Address - Street 1:131 MEDICAL PARK RD
Practice Address - Street 2:SUITE 102
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-8522
Practice Address - Country:US
Practice Address - Phone:704-663-1282
Practice Address - Fax:704-663-1413
Is Sole Proprietor?:No
Enumeration Date:2017-02-06
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5009264363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily