Individual
GINA IANNUZZELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Mailing address
124 SHALE CREEK DR, DURHAM, NC 27703-6554
(919) 757-6222
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2021099373
NC
Other
Enumeration date
02/14/2022
Last updated
06/16/2022
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