Individual
AUDREY CARMELITA DURRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD489581C-
PA
208600000X
Surgery Physician
Primary
036160787
IL
208600000X
Surgery Physician
P5970
TX
2086S0120X
Pediatric Surgery Physician
01072122A
IN
2086S0120X
Pediatric Surgery Physician
103048
WI
2086S0120X
Pediatric Surgery Physician
MD-43496
IA
2086S0120X
Pediatric Surgery Physician
ME115460
FL
2086S0120X
Pediatric Surgery Physician
P5970
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103854500
—
FL
05
—
3249054-02
—
TX
01
—
V4Z99
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/01/2008
Last updated
09/05/2025
Update your record
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