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Individual
MARY ELIZABETH DURANT
Active
Individual
MARY ELIZABETH DURANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
40279
WV
367A00000X
Advanced Practice Midwife
Primary
4156
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4156
STATE LICENSE
SC
05
—
7101240000
—
WV
Enumeration date
08/24/2006
Last updated
03/10/2020
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