Individual
EYEFUJIRIN ENDURANCE UKPONMWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2645 MERIDIAN PKWY STE 323, DURHAM, NC 27713-4232
(984) 227-8902
Mailing address
6840 GLENWOOD AVE, RALEIGH, NC 27612-7133
(919) 781-8604
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
272678
NC
363LF0000X
Family Nurse Practitioner
Primary
5014299
NC
Other
Enumeration date
01/04/2021
Last updated
03/11/2022
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