Individual
CLAIRE NAKAJIMA FOUNTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
414 E MAIN ST, DURHAM, NC 27701-3720
(919) 560-7850
Mailing address
414 E MAIN ST, DURHAM, NC 27701-3720
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
283989
MA
363LF0000X
Family Nurse Practitioner
Primary
241176
NC
Other
Enumeration date
09/28/2009
Last updated
10/26/2010
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