Individual
DEIDRE CONSOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
115 MARKET ST, DURHAM, NC 27701-3251
(919) 937-9190
Mailing address
115 MARKET ST, DURHAM, NC 27701-3251
(919) 937-9190
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
245170
NC
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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