Individual
ELLEN LEIDIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
20 MEDICINE CIR, DURHAM, NC 27710-0001
(330) 703-6479
Mailing address
811 CLEARVIEW LN, DURHAM, NC 27713-6521
(330) 703-6479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5009286
NC
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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