Individual
MR. DAVID ASHLEY LIVESAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 212-0129
Mailing address
508 FULTON ST, DURHAM, NC 27705-3875
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5009291
NC
Other
Enumeration date
12/20/2006
Last updated
03/14/2017
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