Individual
MICHELLE PANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F05250336
NC
363LA2200X
Adult Health Nurse Practitioner
F05250336
NC
363LG0600X
Gerontology Nurse Practitioner
F05250336
NC
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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