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ASHLEY STANBACK NETTLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 684-0100
Mailing address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 684-0100

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-178733
AL
163W00000X
Registered Nurse
377449
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1-178733
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5021286
NC

Other

Enumeration date
04/01/2022
Last updated
06/11/2025
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