Individual
KRISTIN DE HAVILLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 681-5077
Mailing address
2301 ERWIN RD, DURHAM, NC 27705-4699
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5021222
NC
Other
Enumeration date
12/28/2024
Last updated
12/28/2024
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