Individual
AYANNA NONI BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
302 ALLENDOWN LN, KNIGHTDALE, NC 27545-6735
(919) 440-4340
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
304327
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
304327
NCBON
NC
Enumeration date
06/08/2018
Last updated
06/08/2018
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