Individual
MISS MICHELLE LEE TERWILLIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
217195
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
217195
RN LICENSE
NC
01
—
5003926
NC PRESCRIBING NUMBER
NC
Enumeration date
01/20/2007
Last updated
05/14/2010
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