Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 2009-00392 | NC |
NPI | 1174733943 |
---|---|
Provider Name | Claire Van Eenwyk |
First Address | Durham, NC 27713-4202 |
Second Address | Chapel Hill, NC 27517-8172 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 03/05/2016 |