Individual
MS. ANITA LANIER SOUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4104 SURLES CT STE 11, DURHAM, NC 27703-8239
(919) 941-1911
Mailing address
4104 SURLES CT STE 11, DURHAM, NC 27703-8239
(919) 941-1911
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
109510
NC
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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