Individual
DESTINY BRELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2645 MERIDIAN PKWY STE 323, DURHAM, NC 27713-4232
(984) 227-8902
Mailing address
508 FULTON ST, DURHAM, NC 27705-3875
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5009033
NC
Other
Enumeration date
10/18/2016
Last updated
02/03/2020
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