Individual
SHAUNTIL COUCH-BAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4205 AMBER STONE WAY, DURHAM, NC 27704-6411
(919) 884-0872
Mailing address
4205 AMBER STONE WAY, DURHAM, NC 27704-6411
(919) 884-0872
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5023419
NC
Other
Enumeration date
10/28/2025
Last updated
11/05/2025
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