Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 5010999 | NC |
NPI | 1588148761 |
---|---|
Provider Name | Sarah P Mccormick |
First Address | Durham, NC 27710-1000 |
Second Address | Durham, NC 27710-1000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2018 |
Last Update Date | 24/09/2018 |