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Individual

MARY BOGER DENINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC

Contact information

Practice address
809 TIFFANY BLVD, ROCKY MOUNT, NC 27804-1812
(252) 442-0333
Mailing address
5750 WILMA DR, DURHAM, NC 27712-1631

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5014958
NC

Other

Enumeration date
08/31/2021
Last updated
08/31/2021
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