Individual
HANNA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 613-4899
Mailing address
448 E 16TH ST, CHARLOTTE, NC 28206-3402
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5022683
NC
Other
Enumeration date
07/21/2025
Last updated
07/22/2025
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