Doctor Name: | NAOMI STEWART DURHAM |
NPI Number: | 1033570635 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, CNP |
License Number: | LP-0000146 |
Business Practice Address: | 12 Reads Way New Castle, DE - 197201649 |
Business Phone Number: | 3023237142 |
Business Fax Number: | 3023237622 |
Mailing Address: | 12 Reads Way, NEW CASTLE |
State: | DE |
Postal Code: | 197201649 |
Phone Number: | 3023237142 |
Fax Number: | 3023237622 |
NPI Enumeration Date: | 03/10/2016 |
NPI Last Update Date: | 03/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | LP-0000146 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |