Healthcare Provider Details

I. General information

NPI: 1790609238
Provider Name (Legal Business Name): MAURICE HARRY WERNESS JR. ND
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 N BUCHANAN BLVD
DURHAM NC
27701-1540
US

IV. Provider business mailing address

708 N BUCHANAN BLVD
DURHAM NC
27701-1540
US

V. Phone/Fax

Practice location:
  • Phone: 919-656-5518
  • Fax:
Mailing address:
  • Phone: 919-656-5518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172P00000X
TaxonomyNaprapath
License NumberNT683
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: