Individual
MS. MARCELLA MASSENBURG ATWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHCNS-BC
Contact information
Practice address
1008 BOWLER DR, DURHAM, NC 27703-6311
(919) 687-4013
(919) 680-4010
Mailing address
1008 BOWLER DR, DURHAM, NC 27703-6311
(919) 687-4013
(919) 680-4010
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
069765
NC
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
69765
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700038353
—
NC
Enumeration date
10/15/2008
Last updated
09/19/2014
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