Individual
ARENNETTE TYSHA ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705
(919) 383-6107
Mailing address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 383-6107
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
197580
NC
363LF0000X
Family Nurse Practitioner
Primary
5004488
NC
Other
Enumeration date
09/24/2009
Last updated
08/02/2024
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