Individual
MARY SURYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5318 NC HIGHWAY 55, DURHAM, NC 27713-9659
(919) 544-4300
Mailing address
5318 NC HIGHWAY 55, DURHAM, NC 27713-9659
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5012154
NC
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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