Healthcare Provider Details

I. General information

NPI: 1861356123
Provider Name (Legal Business Name): AUDREY MRAD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AUDREY BOYLES RN

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR
CHAPEL HILL NC
27514-4220
US

IV. Provider business mailing address

1010 STARLIGHT DR
DURHAM NC
27707-2134
US

V. Phone/Fax

Practice location:
  • Phone: 984-215-3078
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number264544
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: