Individual
LIBIYA BABY POONELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
4419 BEN FRANKLIN BLVD, DURHAM, NC 27704-2147
(919) 690-1035
(919) 477-5526
Mailing address
4419 BEN FRANKLIN BLVD, DURHAM, NC 27704-2147
(919) 690-1035
(919) 477-5526
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5007540
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NC
Enumeration date
03/23/2015
Last updated
03/23/2015
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