Individual
CLAUDIA L NASSARALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
508 FULTON ST, GRECC 182, DURHAM, NC 27705-3875
(414) 403-9612
Mailing address
508 FULTON ST, GRECC 182, DURHAM, NC 27705-3875
(414) 403-9612
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2013-00587
NC
207R00000X
Internal Medicine Physician
47737
MN
207R00000X
Internal Medicine Physician
50420
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044122800
—
MN
05
—
34918900
—
WI
Enumeration date
12/21/2005
Last updated
03/07/2023
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