Individual
ELLEN TIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5324 MCFARLAND RD, DURHAM, NC 27707-6865
(919) 687-4688
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 620-5041
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
68269
NC
Other
Enumeration date
10/25/2006
Last updated
04/07/2010
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