Individual
MADELINE MICHELLE MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4709 CREEKSTONE DR, DURHAM, NC 27703-9822
(919) 385-8880
(919) 862-5782
Mailing address
5400 BEAUMONT DR, DURHAM, NC 27707-9709
(214) 673-6458
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5021744
NC
Other
Enumeration date
02/28/2025
Last updated
05/19/2025
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