Individual
STACEY T ALLRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, ACNP
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27710
(919) 771-6062
Mailing address
2469 WENDELL BLVD, WENDELL, NC 27591-6903
(919) 365-9045
(855) 788-4786
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5007487
NC
363LF0000X
Family Nurse Practitioner
5007487
NC
Other
Enumeration date
04/22/2015
Last updated
07/27/2018
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