Individual
TAYLOR MARIE AHEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Mailing address
2304 TRELLIS CT, RALEIGH, NC 27604-8699
(336) 362-2832
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
5020395
NC
Other
Enumeration date
07/09/2024
Last updated
08/19/2024
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