Individual
MARIA GWEN DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24 MEDICAL PARK DR, ASHEVILLE, NC 28803-2493
(828) 277-7727
(828) 277-7720
Mailing address
24 MEDICAL PARK DR, ASHEVILLE, NC 28803-2493
(828) 277-7727
(828) 277-7720
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
20090507
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20090507
NC BOARD OF NURSING
NC
Enumeration date
10/21/2008
Last updated
10/21/2008
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