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Individual

MRS. LATOYA DIMITRA BUCHANAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
264 AVERASBORO DR., CLAYTON, NC 27520
(919) 432-7395
Mailing address
264 AVERASBORO DR., CLAYTON, NC 27520
(919) 432-7395

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
240383
NC
363LP2300X
Primary Care Nurse Practitioner
Primary
5013479
NC

Other

Enumeration date
09/25/2013
Last updated
04/08/2026
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