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Individual

MS. DIANE S VON GERICHTEN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RN, MSN, FNP

Contact information

Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
(919) 416-5857
Mailing address
3703 BARN VIEW PL, DURHAM, NC 27705-1344
(919) 286-0411
(919) 416-5817

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
85689
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AV2540
PRESCRIBING NUMBER FOR VA
Enumeration date
04/17/2006
Last updated
07/08/2007
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