Individual
MRS. ELIZABETH MARIE MACPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP APRN BC
Contact information
Practice address
5603 DURALEIGH RD, SUITE111, RALEIGH, NC 27612-2688
(919) 791-0840
(919) 791-0840
Mailing address
860 PERRY RD, APEX, NC 27502-7701
(919) 791-0840
(919) 791-0911
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5008584
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100129
FALLON
—
01
—
285037
LICENSE - REGISTERED NURSE
NC
01
—
5008584
NURSE PRACTITIONER
NC
01
—
NP5296
BCBS
—
Enumeration date
08/31/2006
Last updated
01/29/2020
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