Individual
MARY THERESE PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
815 OBERLIN RD, RALEIGH, NC 27605-1300
(919) 322-4722
Mailing address
9318 LENNOX LAUREL CIR, RALEIGH, NC 27617-2068
(919) 924-4171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5010958
NC
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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