Individual
KAYLA SHALENE CHEATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
40 DUKE MEDICINE CIR, DURHAM, NC 27710-4000
(919) 309-5458
Mailing address
PO BOX 61384, RALEIGH, NC 27661-1384
(919) 309-5458
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
297727
NC
363L00000X
Nurse Practitioner
Primary
CHEA-4LH68
NC
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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