Healthcare Provider Details

I. General information

NPI: 1316956295
Provider Name (Legal Business Name): ANNA V STRICKLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 02/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4411 BEN FRANKLIN RD
DURHAM NC
27702
US

IV. Provider business mailing address

PO BOX 483
GLADE VALLEY NC
28627-0483
US

V. Phone/Fax

Practice location:
  • Phone: 919-477-0047
  • Fax: 919-477-6919
Mailing address:
  • Phone: 336-572-0084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0050-01919
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: