Individual
MRS. HALI JO BAKELAAR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
122 EAGLES NEST DR, DURHAM, NC 27712-2989
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
169436
NC
Other
Enumeration date
04/06/2006
Last updated
07/08/2007
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