Provider Demographics
NPI:1659859437
Name:SANFILIPPO, DENISE RENEE (DNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:RENEE
Last Name:SANFILIPPO
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:736 MEDICAL CENTER DR STE 102
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-4250
Mailing Address - Country:US
Mailing Address - Phone:910-452-3666
Mailing Address - Fax:910-798-1505
Practice Address - Street 1:736 MEDICAL CENTER DR STE 102
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-4250
Practice Address - Country:US
Practice Address - Phone:910-452-3666
Practice Address - Fax:910-798-1505
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-02
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM53406363LF0000X
FLAPRN11009436363LF0000X
NC5015092363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily