Individual
REBECCA DORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CPNP-PC
Contact information
Practice address
1103 N ELM ST STE 300, GREENSBORO, NC 27401-6312
(336) 272-6161
Mailing address
509 WILLOUGHBY BLVD, GREENSBORO, NC 27408-3133
(304) 573-5898
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
25701
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
5016323
NC
Other
Enumeration date
03/05/2020
Last updated
06/22/2022
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