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Individual
MICHELLE DURHAM
Active
Individual
MICHELLE DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F3326901
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02073590
—
NY
01
—
109568BJ
PREFERRED CARE
NY
01
—
109568DL
PREFERRED CARE
NY
01
—
P019332690
BLUE CROSS
NY
Enumeration date
12/21/2006
Last updated
04/27/2010
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