Individual
ALICIA BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2400 PRATT ST, DURHAM, NC 27705-3976
(919) 668-1002
(919) 668-1091
Mailing address
2400 PRATT ST, DURHAM, NC 27705-3976
(919) 668-1002
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
BLUE-QD8H3
NC
Other
Enumeration date
08/04/2022
Last updated
12/07/2023
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