Individual
GEORGETTE FERNANDA GURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
5904 SIX FORKS RD, STE 111, RALEIGH, NC 27609-8228
(919) 787-9555
(919) 510-5111
Mailing address
5904 SIX FORKS RD, STE 111, RALEIGH, NC 27609-8228
(919) 787-9555
(919) 510-5111
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
300235
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7003676
—
NC
Enumeration date
03/31/2008
Last updated
03/28/2018
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