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Individual

MS. MELISSA BURLESON MICOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN, CPNP

Contact information

Practice address
2100 ERWIN RD, DURHAM, NC 27710-0001
(919) 620-4467
Mailing address
2100 ERWIN RD, DUKE UNIVERSITY MEDICAL CENTER - DUMC 2914, DURHAM, NC 27710-0001

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
122397
NC
363L00000X
Nurse Practitioner
Primary
300326
NC

Other

Enumeration date
10/25/2006
Last updated
04/25/2022
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