Individual
MRS. STEPHANIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2301 ERWIN RD, BOX 100000, DURHAM, NC 27705-4699
(919) 681-9282
Mailing address
2301 ERWIN RD, BOX 100000, DURHAM, NC 27705-4699
(919) 681-9282
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
222298
NC
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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