Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 228070 | NC |
NPI | 1003036047 |
---|---|
Provider Name | Mrs. Sekeya Edreekia Durgan |
First Address | Fayetteville, NC 28311-6840 |
Second Address | Fayetteville, NC 28304-6162 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 06/09/2016 |