Healthcare Provider Details

I. General information

NPI: 1922949510
Provider Name (Legal Business Name): NEPHOLOGY NURSE CONSULTANTS AND CARE SOLUTIONS P
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1107 SANDTRAP WAY
DURHAM NC
27703
US

IV. Provider business mailing address

1107 SANDTRAP WAY
DURHAM NC
27703
US

V. Phone/Fax

Practice location:
  • Phone: 919-907-1262
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WN0300X
TaxonomyNephrology Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MR. COREY LEMANT GATLING
Title or Position: OWNER
Credential: BSN, RN
Phone: 919-695-6287