Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 5007672 | NC |
NPI | 1003296054 |
---|---|
Provider Name | Mary Lauren Cheek Parrish |
First Address | Durham, NC 27707-2660 |
Second Address | Durham, NC 27707-2660 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2015 |
Last Update Date | 12/06/2015 |