Individual
SHIBU EDWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN-AGNP-C
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 613-6133
Mailing address
1921 GRACE POINT RD, MORRISVILLE, NC 27560-6676
(919) 477-2937
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5010563
NC
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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