Individual
KATIE DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(704) 638-9000
Mailing address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(704) 638-9000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5007551
NC
363LG0600X
Gerontology Nurse Practitioner
5007551
NC
Other
Enumeration date
03/26/2015
Last updated
12/30/2019
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