Individual
MISS REBECCA E DORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
606 WADE AVE, SUITE 100, RALEIGH, NC 27605-1390
(919) 443-2360
Mailing address
200 BLACK HAWK TRL, WAYNESVILLE, NC 28785-8392
(904) 254-9535
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
ARNP9222910
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5007067
NC
Other
Enumeration date
04/11/2006
Last updated
07/22/2016
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