Individual
MARQUESE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
607 WELLWATER AVE, DURHAM, NC 27703-9965
(919) 946-2780
Mailing address
607 WELLWATER AVE, DURHAM, NC 27703-9965
(919) 946-2780
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2022056196
NC
Other
Enumeration date
08/14/2022
Last updated
08/14/2022
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