Individual
KELLIE WALTER FURIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
127 FIDELITY ST, CARRBORO, NC 27510-2002
(919) 933-8381
(919) 933-6623
Mailing address
127 FIDELITY ST, CARRBORO, NC 27510-2002
(919) 933-8381
(919) 933-6623
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5002294
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0050-02294
NC STATE LICENSE
NC
Enumeration date
10/20/2006
Last updated
07/28/2021
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