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Individual

CASEY BAYLISS BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGPCNP-BC

Contact information

Practice address
200 TRENT DR, DURHAM, NC 27710-3037
(919) 681-6571
(919) 684-6674
Mailing address
PO BOX 63362, CHARLOTTE, NC 28263-3362
(919) 620-4700

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
244881
NC
363LA2200X
Adult Health Nurse Practitioner
5006994
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1285041053
NC
05
NP3278
SC
Enumeration date
07/14/2014
Last updated
02/16/2018
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